Individual provider · Type 1 NPI
Bruce G. Shepard, PhD
Professional Counselor · Kitty Hawk, NC
NPI number
1770768491
Active
Practice location
108 Pinnacle Court
Kitty Hawk, NC 27949-5911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 480 (NC) |
Professional Counselor: Definition to come...
Other professional counselor providers in Kitty Hawk
About NPI 1770768491
Bruce G. Shepard, PhD's National Provider Identifier is 1770768491, issued on Dec 31, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kitty Hawk, NC. The record was last updated on Dec 31, 2007.