Sherman, Tracy
Sherman, Tracy is an individual health care provider with primary practice located at 963 Holbrook Cir , Fort Walton Beach FL 32547-6733. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Sherman, Tracy can be contacted via phone (850) 503-4071.Contact Information
Primary practice address
963 Holbrook Cir
Fort Walton Beach FL 32547-6733
Phone: (850) 503-4071
Fax: (850) 999-7451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA5963 | Florida |
Profile Details
NPI number | 1942288824 |
---|---|
LBN Legal business name | Sherman, Tracy |
Credentials | PHD, CCC-SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2006 |
Last updated | May 19th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942288824 | NPPES |
Florida | MEDICAID | 010940100 | |
Florida | MEDICAID | 010329600 |
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