Individual
DR. JONATHAN JOEL SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6707 WHITESTONE RD, SUITE 106, WOODLAWN, MD 21207-4106
(410) 265-8737
(410) 265-1258
Mailing address
18 BRETON HILL RD, APT. #3B, PIKESVILLE, MD 21208-2716
(312) 391-7437
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0070538
MD
Other
Enumeration date
07/25/2007
Last updated
02/07/2012
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