Individual
CARISSA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 779-0204
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 779-0204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105204
TX
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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