Provider Demographics
NPI:1861810665
Name:ZAPPIA, SHERRY ELLEN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:ELLEN
Last Name:ZAPPIA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:SHERRY
Other - Middle Name:ELLEN
Other - Last Name:NIEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2709 KING SURREY CT
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6520
Mailing Address - Country:US
Mailing Address - Phone:813-690-6472
Mailing Address - Fax:
Practice Address - Street 1:2709 KING SURREY CT
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6520
Practice Address - Country:US
Practice Address - Phone:813-690-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 12812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist