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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396951778 NPPES
California Other 24609 MFT LICENSE #

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