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Individual

TAMARA A SHEPLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 729-2262
Mailing address
PO BOX 781983, SAN ANTONIO, TX 78278-1983

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34413
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2044935-01
TX
Enumeration date
05/20/2009
Last updated
09/21/2023
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