Shepard, Garrett L

Shepard, Garrett L is an individual health care provider with primary practice located at 1300 Creason Rd , Corning AR 72422-1716. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shepard, Garrett L can be contacted via phone (870) 857-3399.

Contact Information

Primary practice address
1300 Creason Rd Corning AR 72422-1716
Fax: (870) 857-3301
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9698-C Arkansas

Profile Details

NPI number 1477923803
LBN Legal business name Shepard, Garrett L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477923803 NPPES
Arkansas MEDICAID 243478795

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