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Contact Information

SHELIA R CASSIDY, PSYD
307 BOATNER RD STE 114
EGLIN AFB, FL32542-1302
 Phone: 850-883-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHELIA R CASSIDY · (Female)

NPI # 1386658037
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/28/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 07-10P
  • AR License # 0710P
  • FL License # PY6766
  • AR Medicaid 164425719
  • AR Other P00399029 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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