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NPI Profile for LISE D DELONG in GREENWOOD, IN.
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.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X |
| NPI # | 1295030666 |
|
| Status | Active | |
| Credentials | PH.D. CPCRT | |
| Entity | Individual | |
| Enumeration date | 01/17/2011 | |
| Last updated | 01/17/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LISE D DELONG, PH.D. CPCRT