Older, Sharon Estill
Older, Sharon Estill is an sole proprietor health care provider with primary practice located at 125 S Swoope Ave Ste 110 , Maitland FL 32751-5784. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Older, Sharon Estill can be contacted via phone (407) 622-0444.Contact Information
Primary practice address
125 S Swoope Ave Ste 110
Maitland FL 32751-5784
Phone: (407) 622-0444
Fax: (407) 699-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-00-0285 | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY4781 | Florida |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY4781 | Florida |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PY4781 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4781 | Florida |
Profile Details
| NPI number | 1821212515 |
|---|---|
| LBN Legal business name | Older, Sharon Estill |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jan 31st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821212515 | NPPES |
| Florida | MEDICAID | 766320000 |
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