Shepherd, Judy M
Shepherd, Judy M is an sole proprietor health care provider with primary practice located at 1103 Lithia Pinecrest Rd , Brandon FL 33511-6713. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shepherd, Judy M can be contacted via phone (813) 657-3550.Contact Information
Primary practice address
1103 Lithia Pinecrest Rd
Brandon FL 33511-6713
Phone: (813) 657-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 1749 | Florida |
Profile Details
| NPI number | 1154475002 |
|---|---|
| LBN Legal business name | Shepherd, Judy M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1154475002 | NPPES |
| Florida | Other | Z045E | BLUE CROSS BLUE SHIELD |
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