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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1942288824 NPPES
Florida MEDICAID 010940100
Florida MEDICAID 010329600

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