SHIRLEY TEMPLE NPI 1245872092

NPI Information

Shirley Temple is a developmental disabilities clinic center in Brandon, FL. The provider is 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.). Shirley Temple NPI is 1245872092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 SPITZ CT
BRANDON, FL
ZIP 33511-816
Phone: (813) 952-6865
Fax: (888) 870-9630

The enumeration date for this NPI number is 10/14/2019 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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