NPI 1174140800
MD Developmental Agency
Practice location
- Address
- 2520 Saint Rose Pkwy STE H2-216, Henderson, NV 89074-7783
- Phone
- (773) 407-7558
- Fax
- (702) 852-0430
Authorised official
- Name
- Debra Stewart
- Title
- Co-Owner
- Phone
- (773) 407-7558
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1174140800
- Entity type
- Organization
- NPI issued
- 29 Jun 2020
- Record last updated
- 20 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.