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Organization

ROBERT J. SHEPPARD PHD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J. SHEPPARD PH.D. (PSYCHOLOGIST)
(269) 303-6296
Entity
Organization

Contact information

Practice address
8339 BROOKWOOD DR, PORTAGE, MI 49024-5207
(269) 303-6296
Mailing address
8339 BROOKWOOD DR, PORTAGE, MI 49024-5207
(269) 303-6296

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
10/23/2020
Last updated
10/24/2020
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