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 | Specialty Code | Provider Type | |
Neurodevelopmental Disabilities |
2084P0005X | 86 | Physician/Neuropsychiatry |
| NPI # | 1235366204 |
| LBN Legal business name | DNP-OUTPATIENT |
| Authorized official | PATRICIA GONZALES - (C.E.O.) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/17/2009 |
| Last updated | 06/17/2009 - About 17 years ago |
| Identifiers | n/a |
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