Individual
DR. MASON SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
636 EDPAS RD, NEW BRUNSWICK, NJ 08901-3811
(973) 303-9237
Mailing address
636 EDPAS RD, NEW BRUNSWICK, NJ 08901-3811
(973) 303-9237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00652900
NJ
103TS0200X
School Psychologist
—
—
Other
Enumeration date
10/16/2019
Last updated
05/03/2022
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