Provider Demographics
NPI:1528476124
Name:SHIPMAN, SABRINA (MS)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WILLIAMS CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-5167
Mailing Address - Country:US
Mailing Address - Phone:518-569-8803
Mailing Address - Fax:
Practice Address - Street 1:1322 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-1135
Practice Address - Country:US
Practice Address - Phone:941-740-5338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-27
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20409235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist