Individual
DR. JON M SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
4020 HUFFINES, SUITE 120, CARROLLTON, TX 75010-6524
(817) 229-5659
Mailing address
2816 MUSKRAT DR, FORT WORTH, TX 76244-5501
(817) 229-5659
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33286
TX
103TS0200X
School Psychologist
32747
TX
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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