MD Developmental Agency

NPI #1174140800 in Henderson, Nevada

Provider Information

NPI Number: 1174140800
Entity Type: Organization
Organization Name: MD Developmental Agency
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 29, 2020
Last Updated: May 20, 2022

Practice Location

Address: 2520 SAINT ROSE PKWY STE H2-216
City: Henderson
State: Nevada
ZIP Code: 89074-7783
Phone: (773) 407-7558

Authorized Official

Name: DEBRA STEWART, THERAPIST
Title: CO-OWNER
Phone: (773) 407-7558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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