MEDICARE: MS. TRACY SHERMAN PHD, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist
2	235Z00000X	Speech-Language Pathologist	SA5963	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942288824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACY SHERMAN PHD, CCC-SLP

Provider Business Mailing Address
First Line	:	963 HOLBROOK CIR
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-6733
Country	:	US
Telephone Number	:	850-503-4071
Fax Number	:	850-999-7451

Provider Business Practice Location Address
First Line	:	963 HOLBROOK CIR
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-6733
Country	:	US
Telephone Number	:	850-503-4071
Fax Number	:	850-999-7451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	05/19/2020

Similar Medicare Providers

1780769844 — DR. TERRANCE DALE JENNINGS DDS
Practice Location Address:

2910 JENNY LIND ROAD , SUITE 7
FORT SMITH, AR
72901-6733

Practice Phone: 479-785-4107
Practice Fax: 479-494-7638

1477817781 — KIMBERLY WARD M.S.
Practice Location Address:

6733 CLEAR SPRING DR
FORT WORTH, TX
76132-3750

Practice Phone: 817-300-1920
Practice Fax:

1245765585 — CROSSROADS TREATMENT CENTER OF FORT WORTH, PLLC
Practice Location Address:

6733 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7112

Practice Phone: 817-386-9180
Practice Fax:

1871097634 — CLETIS HUBBARD
Practice Location Address:

6733 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7112

Practice Phone: 817-386-9180
Practice Fax:

1124515168 — NATALIE TOWNSON
Practice Location Address:

6733 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7112

Practice Phone: 817-386-9180
Practice Fax:

1124589536 — PALLIATIVE CARE AT HEART, LLC
Practice Location Address:

2910 JENNY LIND RD STE 4
FORT SMITH, AR
72901-6733

Practice Phone: 800-752-0444
Practice Fax:

Directions to “ MS. TRACY SHERMAN PHD, CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.