Richard C. Shepherd in Danville - Psychologist
Richard C. Shepherd - NPI 1508877804
Richard C. Shepherd is a Psychologist in Danville, Illinois. Richard C. Shepherd practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard C. Shepherd is 1508877804. The last update date is 2007-07-08.
Richard C. Shepherd's current location address is 1900 E Main St, Danville, Illinois. You can contact this provider via phone number 3094970790 and fax number 3094973564. The mailing address for Richard C. Shepherd is 1900 E Main St, Danville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard C. Shepherd |
|---|---|
| Address | 1900 E Main St, Danville, Illinois |
| Phone Number | 3094970790 |
| Fax Number | 3094973564 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508877804 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 E Main St |
|---|---|
| City | Danville |
| State | Illinois (IL) |
| Post Code | 618325100 |
| Phone Number | 3094970790 |
| Fax Number | 3094973564 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29240387 | IL | BCBS PROVIDER |
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What is the unique 10-digit identifier code issued to Richard C. Shepherd by the Centers for Medicare & Medicaid Services?
The Richard C. Shepherd has been assigned the NPI (National Provider Identifier) 1508877804 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Richard C. Shepherd located?
The Richard C. Shepherd is located at 1900 E Main St, Danville, IL 618325100.
What is Richard C. Shepherd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard C. Shepherd's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508877804 to Richard C. Shepherd?
The Richard C. Shepherd received its 1508877804 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date was the information regarding Richard C. Shepherd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard C. Shepherd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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