Individual
JOSHUA SHANE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSP
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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