Shockley, Dawn
Shockley, Dawn is an sole proprietor health care provider with primary practice located at 1022 Florida Ave S Suite 6, Rockledge FL 32955-2145. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Shockley, Dawn can be contacted via phone (321) 634-3688.Contact Information
Primary practice address
1022 Florida Ave S Suite 6
Rockledge FL 32955-2145
Phone: (321) 634-3688
Fax: (321) 504-0955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA2660 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | SA2660 | Florida |
Profile Details
| NPI number | 1316065931 |
|---|---|
| LBN Legal business name | Shockley, Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | May 22nd, 2008 - about 17 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 | 1316065931 | NPPES |
| Florida | MEDICAID | 8885800 |
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