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Derek Engler
Developmental Disabilities Clinic/Center in Springfield, Ohio
NPI 1104367218

Derek Engler is a Developmental Disabilities Clinic/Center based in Springfield, OH and is specialized in Developmental Disabilities. Derek Engler practices in Springfield, OH. The NPI Number for Derek Engler is 1104367218 and holds a License No. 1204486 (Ohio).

The current practice location address for Derek Engler is 1012 Mavor St, Springfield, OH and can be reached out via phone at 937-360-7642. You can also correspond with Derek Engler through the mailing address at 1012 MAVOR ST, SPRINGFIELD, OH - 45505-2848 (mailing address contact number: 937-360-7642).

Location: 1012 Mavor St, Springfield, OH, 45505-2848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104367218
Provider Name
Derek Engler
Credential
Provider Entity Type
Individual
Gender
Male
Address
1012 Mavor St, Springfield, OH, 45505-2848
Phone Number
937-360-7642
Fax Number
Provider Enumeration Date
03/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0208810 05 OH
1204486 01 OH DODD CONTRACT NUMBER
institution
Provider Business Practice Location Address Details
Address
1012 Mavor St
City
Springfield
State
Ohio
Zip
45505-2848
Phone Number
937-360-7642
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Mavor St
City
Springfield
State
Ohio
Zip
45505-2848
Phone Number
937-360-7642
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
1204486 (Ohio)
Definition
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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