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Mrs. Melinda Catherine Johnson
Developmental Disabilities Clinic/Center in Lakeland, Florida
NPI 1952817850

Melinda Catherine Johnson is a Developmental Disabilities Clinic/Center based in Lakeland, FL and is specialized in Developmental Disabilities. Melinda Catherine Johnson practices in Lakeland, FL. The NPI Number for Melinda Catherine Johnson is 1952817850 and holds a License No. (Florida).

The current practice location address for Melinda Catherine Johnson is 2736 W 10Th St, Lakeland, FL and can be reached out via phone at 863-255-9370 and via fax at 863-255-9370. You can also correspond with Melinda Catherine Johnson through the mailing address at 1106 MELVILLE AVE, LAKELAND, FL - 33805-3959 (mailing address contact number: 863-255-9370).

Location: 2736 W 10Th St, Lakeland, FL, 33805-3959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952817850
Provider Name
Melinda Catherine Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2736 W 10Th St, Lakeland, FL, 33805-3959
Phone Number
863-255-9370
Fax Number
863-255-9370
Provider Enumeration Date
12/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2736 W 10Th St
City
Lakeland
State
Florida
Zip
33805-3982
Phone Number
863-255-9370
Fax Number
863-255-9370
person
Provider Business Mailing Address Details
Address
2736 W 10Th St
City
Lakeland
State
Florida
Zip
33805-3982
Phone Number
863-255-9370
Fax Number
863-255-9370
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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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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