Individual
DR. WALTER PHILIP SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2149 MANGO PL, JACKSONVILLE, FL 32207-3325
(904) 346-0092
(904) 346-0586
Mailing address
2149 MANGO PL, JACKSONVILLE, FL 32207-3325
(904) 346-0092
(904) 346-0586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003000
FL
Other
Enumeration date
12/13/2006
Last updated
11/20/2015
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