Organization
DEVELOPMENT LEARNING CENTER OF ST LUCIE COUNTY FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EUGENE MAULDIN PHD (PRESIDENT)
(772) 871-7800
Entity
Organization
Contact information
Practice address
2550 SE WALTON RD, PORT ST LUCIE, FL 34952-7168
(772) 979-5515
(772) 335-5855
Mailing address
2423 TAMARIND DR, FORT PIERCE, FL 34949-1544
(772) 979-5515
(772) 335-5855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5121
FL
Other
Enumeration date
04/02/2012
Last updated
12/12/2012
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