| Doctor Name: | LYNN ROSE SHEPPARD |
| NPI Number: | 1144411968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 115336 |
| Business Practice Address: | 11 Maple Ave 2nd Floor East Bridgewater, MA - 023331547 |
| Business Phone Number: | 5083789000 |
| Business Fax Number: | 5083789001 |
| Mailing Address: | Po Box 335, EAST BRIDGEWATER |
| State: | MA |
| Postal Code: | 023330335 |
| Phone Number: | 5083789000 |
| Fax Number: | 5083789001 |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 04/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 115336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |