Provider Demographics
NPI:1285680595
Name:DUFFY, SHEILA ANN (MA)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANN
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:BUTLER
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1200 COUNTRY CLUB DR
Mailing Address - Street 2:#5103
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-2163
Mailing Address - Country:US
Mailing Address - Phone:727-581-1618
Mailing Address - Fax:727-581-1618
Practice Address - Street 1:10000 BAY PINES BLVD
Practice Address - Street 2:AUDIOLOGY 126 VA MEDICAL CENTER
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY375231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist