Provider Demographics
NPI:1083877567
Name:SPIRES, SHEILA DECK (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DECK
Last Name:SPIRES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13413 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-3820
Mailing Address - Country:US
Mailing Address - Phone:727-862-6921
Mailing Address - Fax:
Practice Address - Street 1:13413 HICKS RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-3820
Practice Address - Country:US
Practice Address - Phone:727-862-6921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2008-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54630OtherBCBS