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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLISSA NEWTON

Active Sole Proprietor

MALLISSA NEWTON is a Developmental Disabilities Clinic healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1427561463 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1427561463
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2017 (8.7608523547764 yrs)
Last Updated
Dec 17, 2018
Sole Proprietor
Yes

Practice Information

Address
2081 SW KASIM TER
PORT SAINT LUCIE, FL, 349532163
Browse FL providers · Browse ZIP 34953
Phone
7723330728
Primary Specialty
Developmental Disabilities Clinic
261QD1600X

Other Developmental Disabilities Clinic Providers in PORT SAINT LUCIE, FL

Name Credential NPI
JOY BLAKESLEE MA, WSC 1003322132
DONNA SHIPES 1497262679
GOOSMAN SAINTIL 1437790060
BORGELINE MARIE JINA VILFORT 1184236911
KETTIA NOEL 1891395430
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.