Individual
PHOEBE SWAIN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(347) 305-2866
Mailing address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025181
NY
103TC0700X
Clinical Psychologist
025181
NY
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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