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Denise Oliver Johnson-mason
Developmental Disabilities Clinic/Center in Norfolk, Virginia
NPI 1114792942

Denise Oliver Johnson-mason is a Developmental Disabilities Clinic/Center based in Norfolk, VA and is specialized in Developmental Disabilities. Denise Oliver Johnson-mason practices in Norfolk, VA. The NPI Number for Denise Oliver Johnson-mason is 1114792942 and holds a License No. 6650 (Virginia).

The current practice location address for Denise Oliver Johnson-mason is 3128 Illinois Ave, Norfolk, VA and can be reached out via phone at 757-228-0724.

Location: 3128 Illinois Ave, Norfolk, VA, 23513-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114792942
Provider Name
Denise Oliver Johnson-mason
Credential
Provider Entity Type
Individual
Gender
Female
Address
3128 Illinois Ave, Norfolk, VA, 23513-4128
Phone Number
757-228-0724
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3128 Illinois Ave
City
Norfolk
State
Virginia
Zip
23513-4128
Phone Number
757-228-0724
Fax Number
person
Provider Business Mailing Address Details
Address
3128 Illinois Ave
City
Norfolk
State
Virginia
Zip
23513-4128
Phone Number
757-228-0724
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
6650 (Virginia)
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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