Provider Demographics
NPI:1235330911
Name:SHAIKH, SHEREEN ANN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:ANN
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10212 FALCON PINE BLVD.
Mailing Address - Street 2:# 208
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:561 E MITCHELL HAMMOCK RD
Practice Address - Street 2:SUITE 400
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5526
Practice Address - Country:US
Practice Address - Phone:407-810-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8683235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist