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Mallissa Newton
Developmental Disabilities Clinic/Center in Port Saint Lucie, Florida
NPI 1427561463

Mallissa Newton is a Developmental Disabilities Clinic/Center based in Port Saint Lucie, FL and is specialized in Developmental Disabilities. Mallissa Newton practices in Port Saint Lucie, FL. The NPI Number for Mallissa Newton is 1427561463 and holds a License No. (Florida).

The current practice location address for Mallissa Newton is 2081 Sw Kasim Ter, Port Saint Lucie, FL and can be reached out via phone at 772-333-0728.

Location: 2081 Sw Kasim Ter, Port Saint Lucie, FL, 34953-2163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427561463
Provider Name
Mallissa Newton
Credential
Provider Entity Type
Individual
Gender
Female
Address
2081 Sw Kasim Ter, Port Saint Lucie, FL, 34953-2163
Phone Number
772-333-0728
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2081 Sw Kasim Ter
City
Port Saint Lucie
State
Florida
Zip
34953-2163
Phone Number
772-333-0728
Fax Number
person
Provider Business Mailing Address Details
Address
2081 Sw Kasim Ter
City
Port Saint Lucie
State
Florida
Zip
34953-2163
Phone Number
772-333-0728
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
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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