Doctor Name: | MS. JULIA A SHEPARDSON |
NPI Number: | 1134184492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC |
License Number: | 2463 |
Business Practice Address: | 2006 Town Plaza Ct Winter Springs, FL - 327086216 |
Business Phone Number: | 4076969909 |
Business Fax Number: | |
Mailing Address: | 2006 Town Plaza Ct, WINTER SPRINGS |
State: | FL |
Postal Code: | 327086216 |
Phone Number: | 4076969909 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2463 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |