Provider Demographics
NPI:1851764153
Name:SHEETS, DEBBIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:SHEETS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 SW AVENUE D
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-4231
Mailing Address - Country:US
Mailing Address - Phone:432-847-9968
Mailing Address - Fax:432-580-7428
Practice Address - Street 1:808 SW AVENUE D
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-4231
Practice Address - Country:US
Practice Address - Phone:432-847-9968
Practice Address - Fax:432-523-1903
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-09
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist