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Individual

DR. DAVID S SHEPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
12301 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90025-1007
(310) 319-5336
Mailing address
12301 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90025-1007
(310) 319-5336

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY15141
CA

Other

Enumeration date
05/27/2011
Last updated
05/27/2011
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