Shepard, Tara Kay
Shepard, Tara Kay is an individual health care provider with primary practice located at 13001 23 Mile Rd Ste 103 , Shelby Township MI 48315-2767. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shepard, Tara Kay can be contacted via phone (586) 496-4398.Contact Information
Primary practice address
13001 23 Mile Rd Ste 103
Shelby Township MI 48315-2767
Phone: (586) 496-4398
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6361005957 | Michigan |
Profile Details
NPI number | 1043591340 |
---|---|
LBN Legal business name | Shepard, Tara Kay |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2011 |
Last updated | Apr 5th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043591340 | NPPES |
Michigan | Other | 382230613 | FIN # |
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