Individual
SHANTAL SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BAYWOOD AVE, SAN MATEO, CA 94402-1516
(650) 235-7940
Mailing address
250 W JACKSON ST APT 32, HAYWARD, CA 94544-1825
(341) 895-2939
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY24366
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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