Beverly Virgina Shepard in Grand Rapids - Psychologist

Beverly Virgina Shepard - NPI 1679592794

Beverly Virgina Shepard is a Psychologist in Grand Rapids, Michigan. Beverly Virgina Shepard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Beverly Virgina Shepard is 1679592794. The last update date is 2007-07-08.

Beverly Virgina Shepard's current location address is 5250 North Land Dr, Grand Rapids, Michigan. You can contact this provider via phone number 6163615001 and fax number 6163612166. The mailing address for Beverly Virgina Shepard is 5250 North Land Dr, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Beverly Virgina Shepard
Address 5250 North Land Dr, Grand Rapids, Michigan
Phone Number 6163615001
Fax Number 6163612166
Sole Proprietor N
Credentials LLP

NPI Number Detail

NPI Number 1679592794
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5250 North Land Dr
City Grand Rapids
State Michigan (MI)
Post Code 49525
Phone Number 6163615001
Fax Number 6163612166

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301012618
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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FAQs about Beverly Virgina Shepard

What is the Beverly Virgina Shepard's 1679592794?

The Beverly Virgina Shepard's NPI (National Provider Identifier) Number is 1679592794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Beverly Virgina Shepard?

The Beverly Virgina Shepard is physically situated at 5250 North Land Dr, in the city of Grand Rapids, state of MI, with the postal code 49525.

What is Beverly Virgina Shepard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Beverly Virgina Shepard's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

When was the Beverly Virgina Shepard's 1679592794 issued?

The Beverly Virgina Shepard's 1679592794 was issued on 2006-07-19.

As of what date was the information regarding Beverly Virgina Shepard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Beverly Virgina Shepard, 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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