| Development Learning Center Of St Lucie County Florida Inc | |
|
2550 Se Walton Rd Port St Lucie FL 34952-7168 | |
| (772) 979-5515 | |
| (772) 335-5855 |
| Full Name | Development Learning Center Of St Lucie County Florida Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2550 Se Walton Rd, Port St Lucie, Florida |
| Authorized Official Name and Position | John Eugene Mauldin (PRESIDENT) |
| Authorized Official Contact | 7728717800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Development Learning Center Of St Lucie County Florida Inc 2423 Tamarind Dr Fort Pierce FL 34949-1544 Ph: (772) 979-5515 | Development Learning Center Of St Lucie County Florida Inc 2550 Se Walton Rd Port St Lucie FL 34952-7168 Ph: (772) 979-5515 |
| NPI Number | 1710253943 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710253943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5121 (Florida) | Primary |
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