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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1316065931 NPPES
Florida MEDICAID 8885800

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