Iesha McLaughlin
Individual provider Active NPI Developmental Therapist · Pompano Bea, FL
NPI 1710327259 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1710327259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 2708 NE 14TH Street, Suite 5
Pompano Bea, FL 33064-3564 - Phone
- (888) 880-9270
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
2708 NE 14TH Street, Suite 5
Pompano Bea, FL 33064-3564
Mailing address
2708 NE 14TH Street, Suite 5
Pompano Bea, FL 33064
Phone (888) 880-9270
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.