Shepardson, Mary Beth

Shepardson, Mary Beth is an individual health care provider with primary practice located at 7 Timmerman Ave , St Johnsville NY 13452-1017. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shepardson, Mary Beth can be contacted via phone (518) 568-5037.

Contact Information

Primary practice address
7 Timmerman Ave St Johnsville NY 13452-1017
Fax: (518) 568-5477
Website:

Health care specialties

Profile Details

NPI number 1790856532
LBN Legal business name Shepardson, Mary Beth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1790856532 NPPES
New York MEDICAID 01131093

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