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Khadiyah Joseph
Developmental Disabilities Clinic/Center in Palm Bay, Florida
NPI 1699201624

Khadiyah Joseph is a Developmental Disabilities Clinic/Center based in Palm Bay, FL and is specialized in Developmental Disabilities. Khadiyah Joseph practices in Palm Bay, FL. The NPI Number for Khadiyah Joseph is 1699201624 and holds a License No. (Florida).

The current practice location address for Khadiyah Joseph is 1376 Walthan St Se, Palm Bay, FL and can be reached out via phone at 321-423-0713.

Location: 1376 Walthan St Se, Palm Bay, FL, 32909-6053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699201624
Provider Name
Khadiyah Joseph
Credential
Provider Entity Type
Individual
Gender
Female
Address
1376 Walthan St Se, Palm Bay, FL, 32909-6053
Phone Number
321-423-0713
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1376 Walthan St Se
City
Palm Bay
State
Florida
Zip
32909-6053
Phone Number
321-423-0713
Fax Number
person
Provider Business Mailing Address Details
Address
1376 Walthan St Se
City
Palm Bay
State
Florida
Zip
32909-6053
Phone Number
321-423-0713
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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