Shikina Ninine Bodley, M.A. CCC SLP
Speech-Language Pathologist, in Sanford, FL. Individual provider (NPI-1).
NPI number1033419783
StatusActive
Last updated in NPPESOct 28, 2010
Details
- NPI
- 1033419783
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shikina Ninine Bodley
- Credential
- M.A. CCC SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2010
- Last updated
- Oct 28, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA 5113 | FL | Yes |
Practice location
438 Fairfield DrSanford, FL 32771-6838
Phone 321-947-3445
Mailing address
438 Fairfield DrSanford, FL 32771-6838
Phone 321-947-3445
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