Individual provider · Type 1 NPI
Jessica Sullivan
Developmental Disabilities Clinic/Center · Tampa, FL
Practice location
4813 Bristol Bay Way Apt 302
Tampa, FL 33619-3662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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About NPI 1891421186
Jessica Sullivan's National Provider Identifier is 1891421186, issued on Jul 28, 2022. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Tampa, FL. The record was last updated on Jul 28, 2022.