Individual
MARK T SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
2545 SCHOENERSVILLE RD FL 5, BETHLEHEM, PA 18017-7300
(884) 484-6527
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
OS025156
PA
2084P0800X
Psychiatry Physician
Primary
OS025156
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT020693
PA
Other
Enumeration date
05/05/2021
Last updated
09/02/2025
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