Individual
MS. CARROLL ANNE SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14502 NORTH DALE MABRY, SUITE 200, TAMPA, FL 33618
(813) 402-2926
(813) 402-2927
Mailing address
14502 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2075
(813) 402-2926
(813) 402-2927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
02/07/2012
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