Sharon J Bartels-Wheeless, NCSP

Individual provider Active NPI School Psychologist · Shalimar, FL

NPI 1265060883 · NPPES record last updated Mar 30, 2020

Key facts

NPI
1265060883
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
SS1201 (FL)
Practice address
32 Poquito Rd
Shalimar, FL 32579-1143
Phone
(850) 420-4150
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SS1201FLMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1201 FL Yes

Addresses

Primary practice location

32 Poquito Rd
Shalimar, FL 32579-1143

Mailing address

32 Poquito Rd
Shalimar, FL 32579-1143
Phone (850) 420-4150

Other providers in Shalimar, FL

All providers in Shalimar, FL · School Psychologist in Florida

Sources for this page

Verify at the official NPI Registry.