Shepard, Blake William

Shepard, Blake William is an individual health care provider with primary practice located at 170 S Spruce Ave Ste 200 , South San Francisco CA 94080-4557. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Shepard, Blake William can be contacted via phone (707) 478-7591.

Contact Information

Primary practice address
170 S Spruce Ave Ste 200 South San Francisco CA 94080-4557
Phone: (707) 478-7591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 127480 California

Profile Details

NPI number 1477984110
LBN Legal business name Shepard, Blake William
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2013
Last updated Dec 1st, 2023 - about 2 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.

Request for update

Popular Providers