Individual
MS. LISABETH ANN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(619) 551-9065
Mailing address
3436 DERRER CT N, COLUMBUS, OH 43204-1243
(619) 551-9065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OH
Enumeration date
01/09/2019
Last updated
01/09/2019
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