Individual
JOSHUA SHANE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSP
Contact information
Practice address
115 DELAFIELD ST, POUGHKEEPSIE, NY 12601-1749
(845) 790-6036
(845) 790-6036
Mailing address
32 LAGRANGE AVE, POUGHKEEPSIE, NY 12603-2411
(914) 203-4141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-46310
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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