Individual
EMILY ELIZABETH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. CCC-SLP
Contact information
Practice address
283 RED HAWK WAY # 100, DALLAS, GA 30132-1149
(561) 801-3148
Mailing address
830 YOUNGS MILL RD, KINGSTON, GA 30145-1526
(706) 936-6682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010644
GA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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