Shepherd, June Ellen

Shepherd, June Ellen is an sole proprietor health care provider with primary practice located at Mental Health Clinic, 27 Th Special Operations Group 208 Casablanca, Cannon Afb NM 88103-5014. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shepherd, June Ellen can be contacted via phone (575) 784-1108.

Contact Information

Primary practice address
Mental Health Clinic, 27 Th Special Operations Group 208 Casablanca Cannon Afb NM 88103-5014
Phone: (575) 784-1108
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24847 Texas

Profile Details

NPI number 1477577641
LBN Legal business name Shepherd, June Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Sep 12th, 2012 - about 14 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 1477577641 NPPES
Texas MEDICAID 036088501

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