Individual
MRS. JULIE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
103 BALSAM DR, SEVERNA PARK, MD 21146-2803
(410) 271-6272
Mailing address
103 BALSAM DR, SEVERNA PARK, MD 21146-2803
(410) 271-6272
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1-07-3394
CO
Other
Enumeration date
04/17/2008
Last updated
08/06/2012
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