Individual
DR. GAYE WEIN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PH.D.
Contact information
Practice address
275 E CALIFORNIA BLVD, SUITE C, PASADENA, CA 91106-3615
(626) 585-1618
Mailing address
420 ROSEMONT AVE, PASADENA, CA 91103-3556
(626) 796-2593
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LCS12484
CA
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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