Woodard, Shirley Bascom
Woodard, Shirley Bascom is an sole proprietor health care provider with primary practice located at 450 E Highway 50 Ste 6 , Clermont FL 34711-2581. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodard, Shirley Bascom can be contacted via phone (352) 243-9733.Contact Information
Primary practice address
450 E Highway 50 Ste 6
Clermont FL 34711-2581
Phone: (352) 243-9733
Fax: (352) 241-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3658 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 682 | New Hampshire |
Profile Details
| NPI number | 1467584680 |
|---|---|
| LBN Legal business name | Woodard, Shirley Bascom |
| Credentials | PHD, MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1467584680 | NPPES |
| Florida | Other | Z9092 | BLUE CROSS BLUE SHIELD |
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