Individual
DR. DEBRA JOY SHEPPARD
Active
Individual
DR. DEBRA JOY SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
201
MT
103TC0700X
Clinical Psychologist
201
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492219
—
MT
Enumeration date
07/11/2006
Last updated
03/08/2021
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