Individual
DR. MARY ANN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D, HSP
Contact information
Practice address
1817 COMMONS CIR, YUKON, OK 73099-9505
(405) 467-6105
(405) 467-6100
Mailing address
1817 COMMONS CIR, YUKON, OK 73099-9505
(405) 467-6782
(405) 467-6100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-15110
OK
103T00000X
Psychologist
Primary
1231
OK
103TS0200X
School Psychologist
44454
OK
Other
Enumeration date
08/10/2006
Last updated
08/05/2025
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