Individual
MS. MARY ELLEN DELOACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
801 6TH ST S, DEPT 7470, ST PETERSBURG, FL 33701-4816
(727) 767-6726
(727) 767-4715
Mailing address
4623 ALISA CIR NE, ST PETERSBURG, FL 33703-4371
(727) 526-5519
(727) 526-5519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
09/11/2025
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