Provider Demographics
NPI:1063164739
Name:SHEETS, EMILY (PSYD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SHEETS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 S TAMIAMI TRL STE 164
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3400
Mailing Address - Country:US
Mailing Address - Phone:941-924-0123
Mailing Address - Fax:941-324-3456
Practice Address - Street 1:4370 S TAMIAMI TRL STE 164
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3400
Practice Address - Country:US
Practice Address - Phone:941-924-0123
Practice Address - Fax:941-924-3456
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6520103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist