Organization
EDUCATIONAL SERVICE DISTRICT 123
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LOIS SHEPHERD CDP (PREVENTION & TREATMENT CENTER DIREC)
(509) 544-5761
Entity
Organization
Contact information
Practice address
3918 W COURT ST, PASCO, WA 99301-2775
(509) 544-5761
(509) 543-3328
Mailing address
3924 W COURT ST, PASCO, WA 99301-2775
(509) 544-5761
(509) 543-3328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
11135800
WA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/08/2007
Last updated
07/09/2025
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