Shepard, Cynthia Popelka
Shepard, Cynthia Popelka is an individual health care provider with primary practice located at 2403 S Moray Ave Ste 3 , San Pedro CA 90732-4323. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Shepard, Cynthia Popelka can be contacted via phone (310) 547-1485.Contact Information
Primary practice address
2403 S Moray Ave Ste 3
San Pedro CA 90732-4323
Phone: (310) 547-1485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT24609 | California |
Profile Details
| NPI number | 1396951778 |
|---|---|
| LBN Legal business name | Shepard, Cynthia Popelka |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Dec 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396951778 | NPPES |
| California | Other | 24609 | MFT LICENSE # |
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