Jonathan Joel Shepherd in Woodlawn - Child & Adolescent Psychiatry

Jonathan Joel Shepherd - NPI 1902096050

Jonathan Joel Shepherd is a Child & Adolescent Psychiatry in Woodlawn, Maryland. Jonathan Joel Shepherd practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Jonathan Joel Shepherd is 1902096050. The last update date is 2012-02-07.

Jonathan Joel Shepherd's current location address is 6707 Whitestone Rd, Woodlawn, Maryland. You can contact this provider via phone number 4102658737 and fax number 4102651258. The mailing address for Jonathan Joel Shepherd is 6707 Whitestone Rd, Woodlawn, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Joel Shepherd
Address 6707 Whitestone Rd, Woodlawn, Maryland
Phone Number 4102658737
Fax Number 4102651258
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1902096050
Provider Enumeration Date 2007-07-25
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address 6707 Whitestone Rd
City Woodlawn
State Maryland (MD)
Post Code 212074106
Phone Number 4102658737
Fax Number 4102651258

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No D0070538
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Jonathan Joel Shepherd

What is the unique provider identifier assigned to Jonathan Joel Shepherd?

The Jonathan Joel Shepherd has been issued the NPI (National Provider Identifier) 1902096050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Jonathan Joel Shepherd located?

The Jonathan Joel Shepherd is located at 6707 Whitestone Rd, Woodlawn, MD 212074106.

What is Jonathan Joel Shepherd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jonathan Joel Shepherd is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.

On what date did Jonathan Joel Shepherd receive its 1902096050 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Joel Shepherd was assigned its 1902096050 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Jonathan Joel Shepherd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-07.

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