Individual
HADEN JOHN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE-I, PHD
Contact information
Practice address
2003 SE WALTON BLVD, BENTONVILLE, AR 72712-3725
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
10-10EI
AR
Other
Enumeration date
10/05/2009
Last updated
03/17/2018
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