Individual
DR. MICHAEL S. SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2775 S JONES BLVD, SUITE 101, LAS VEGAS, NV 89146-5631
(702) 685-3300
(702) 586-3333
Mailing address
2775 S JONES BLVD, SUITE 101, LAS VEGAS, NV 89146-5631
(702) 326-5390
(702) 586-3333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY0540
NV
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY0540
NV
103TA0700X
Adult Development & Aging Psychologist
PY0540
NV
103TB0200X
Cognitive & Behavioral Psychologist
PY0540
NV
103TC0700X
Clinical Psychologist
Primary
PY0540
NV
103TE1100X
Exercise & Sports Psychologist
PY0540
NV
103TH0004X
Health Psychologist
PY0540
NV
103TH0100X
Health Service Psychologist
PY0540
NV
103TP2701X
Group Psychotherapy Psychologist
PY0540
NV
Other
Enumeration date
04/21/2008
Last updated
06/07/2012
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