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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1043591340 NPPES
Michigan Other 382230613 FIN #

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