Organization
DR. GEORGE SHEPEARD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SHEPEARD PSY.D. (CLINICAL PSYCHOLOGIST)
(954) 815-7657
Entity
Organization
Contact information
Practice address
3063 PERRIWINKLE CIR, DAVIE, FL 33328-6702
(800) 555-1212
Mailing address
3063 PERRIWINKLE CIR, DAVIE, FL 33328-6702
(954) 815-7657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/26/2019
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