A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Neurodevelopmental Disabilities | 2084P0005X |
* Indicates primary specialty
| NPI Number | 1235366204 |
| Legal business name LBN |
DNP-OUTPATIENT |
| Authorized official | PATRICIA GONZALES - (C.E.O.) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 06/17/2009 |
| Last updated | 06/17/2009 - About 17 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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