Healthcare Provider Details

I. General information

NPI: 1861810665
Provider Name (Legal Business Name): SHERRY ELLEN ZAPPIA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS SHERRY ELLEN NIEVES

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 KING SURREY CT
VALRICO FL
33596-6520
US

IV. Provider business mailing address

2709 KING SURREY CT
VALRICO FL
33596-6520
US

V. Phone/Fax

Practice location:
  • Phone: 813-690-6472
  • Fax:
Mailing address:
  • Phone: 813-690-6472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 12812
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: