Individual
DR. MATTHEW WARREN SHEPROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3350 STATE ROUTE 138, BLDG 1, SUITE 117, WALL TOWNSHIP, NJ 07719-9693
(732) 681-2345
Mailing address
2158 TERRACE PL, SEA GIRT, NJ 08750-1813
(732) 681-2345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3874
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
3874
NJ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3874
NJ
103TS0200X
School Psychologist
3874
NJ
Other
Enumeration date
04/17/2007
Last updated
10/13/2011
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