Individual
DR. RICHARD C. SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(309) 497-0790
(309) 497-3564
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(309) 497-0790
(309) 497-3564
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029240387
BCBS PROVIDER
IL
Enumeration date
08/11/2006
Last updated
07/08/2007
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