Provider Demographics
NPI:1174052005
Name:YORDON, SHARON (HAS, BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:YORDON
Suffix:
Gender:F
Credentials:HAS, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 W 23RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3607
Mailing Address - Country:US
Mailing Address - Phone:850-763-0801
Mailing Address - Fax:850-769-1997
Practice Address - Street 1:1031 W 23RD ST STE A
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3607
Practice Address - Country:US
Practice Address - Phone:850-763-0801
Practice Address - Fax:850-769-1997
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1541237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist