Individual
MR. JEFFREY MORRIS SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 440-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3422
OR
103TC0700X
Clinical Psychologist
PSY19133
CA
Other
Enumeration date
05/26/2006
Last updated
03/03/2026
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