Individual
ELIZABETH SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CPCI
Contact information
Practice address
231 E 400 S, SALT LAKE CITY, UT 84111-2803
(801) 595-0666
(801) 595-0669
Mailing address
242 REED AVE, SALT LAKE CITY, UT 84103-1827
(801) 243-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
259707-6009
UT
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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