Healthcare Provider Details

I. General information

NPI: 1386716744
Provider Name (Legal Business Name): CHILD DEVELOPMENT RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 WALLER MILL RD
WILLIAMSBURG VA
23185-3000
US

IV. Provider business mailing address

312 WALLER MILL RD
WILLIAMSBURG VA
23185-3000
US

V. Phone/Fax

Practice location:
  • Phone: 757-566-3300
  • Fax: 757-566-8977
Mailing address:
  • Phone: 757-566-3300
  • Fax: 757-566-8977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. CARLA C JAVIER
Title or Position: DIRECTOR
Credential:
Phone: 757-566-3300