Robert J. Sheppard PHD Pllc

NPI #1083213631 in Portage, Michigan

Provider Information

NPI Number: 1083213631
Entity Type: Organization
Organization Name: Robert J. Sheppard PHD Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 23, 2020
Last Updated: Oct 24, 2020

Practice Location

Address: 8339 BROOKWOOD DR
City: Portage
State: Michigan
ZIP Code: 49024-5207
Phone: (269) 303-6296

Authorized Official

Name: DR. ROBERT J. SHEPPARD, PH.D.
Title: PSYCHOLOGIST
Phone: (269) 303-6296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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