Cassidy, Shelia Renee

Cassidy, Shelia Renee is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cassidy, Shelia Renee can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6766 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6766 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0710P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 07-10P Arkansas
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY6766 Florida

Profile Details

NPI number 1386658037
LBN Legal business name Cassidy, Shelia Renee
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386658037 NPPES
Arkansas MEDICAID 164425719
Arkansas Other P00399029

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