Provider Demographics
NPI:1235852971
Name:SHEETS, DELINA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DELINA
Middle Name:
Last Name:SHEETS
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 1:17100 VALLEY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-7997
Mailing Address - Country:US
Mailing Address - Phone:806-236-7288
Mailing Address - Fax:
Practice Address - Street 1:8200 CRESTLINE DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-1673
Practice Address - Country:US
Practice Address - Phone:806-510-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist