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MISS LISA QUEENESTER MARONEY NPI 1588801351


NPI Information

NPI: 1588801351
Provider Name: MISS LISA QUEENESTER MARONEY
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
320 AUTUMN PARK
FORT WORTH, TX
ZIP 76140
Phone: (817) 565-5984
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MISS Lisa Queenester Maroney is a developmental disabilities clinic center in Fort Worth, TX. 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.). MISS Lisa Queenester Maroney NPI is 1588801351. 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:

320 AUTUMN PARK
FORT WORTH, TX
ZIP 76140-524
Phone: (817) 565-5984

The enumeration date for this NPI number is 1/15/2009 and was last updated on 1/15/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3253J00000XFoster Care AgencyNo
4253Z00000XIn Home Supportive CareNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.