Walter Philip Shepherd in Jacksonville - Clinical
Walter Philip Shepherd - NPI 1245391887
Walter Philip Shepherd is a Clinical in Jacksonville, Florida. Walter Philip Shepherd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Walter Philip Shepherd is 1245391887. The last update date is 2015-11-20.
Walter Philip Shepherd's current location address is 2149 Mango Pl, Jacksonville, Florida. You can contact this provider via phone number 9043460092 and fax number 9043460586. The mailing address for Walter Philip Shepherd is 2149 Mango Pl, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Philip Shepherd |
|---|---|
| Address | 2149 Mango Pl, Jacksonville, Florida |
| Phone Number | 9043460092 |
| Fax Number | 9043460586 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1245391887 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2015-11-20 |
Provider Mailing Address Detail
| Address | 2149 Mango Pl |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322073325 |
| Phone Number | 9043460092 |
| Fax Number | 9043460586 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0003000 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Walter Philip Shepherd by the Centers for Medicare & Medicaid Services?
The Walter Philip Shepherd has been issued the NPI (National Provider Identifier) 1245391887 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Walter Philip Shepherd?
The Walter Philip Shepherd is situated at 2149 Mango Pl, in the city of Jacksonville, state of FL, with the zip code 322073325.
What is the Walter Philip Shepherd's area of specialization and corresponding taxonomy classification?
The Walter Philip Shepherd's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245391887 to Walter Philip Shepherd?
The Centers for Medicare & Medicaid Services originally issued the 1245391887 to Walter Philip Shepherd on 2006-12-13.
As of what date were the details related to Walter Philip Shepherd most recently updated or revised?
The information pertaining to Walter Philip Shepherd, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN