Individual
TENYCIA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(402) 943-5543
Mailing address
5515 PACIFIC ST, OMAHA, NE 68106-1638
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5049
NE
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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