Individual
DR. ALICE R. SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
31 W 9TH ST, SUITE 1, NEW YORK, NY 10011-9206
(347) 330-9901
Mailing address
31 W 9TH ST, SUITE 1, NEW YORK, NY 10011-9206
(347) 330-9901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018801-1
NY
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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