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NPI Code Detail

MEDICARE: TAMARA A SHEPLAN PSYD

MEDICARE: TAMARA A SHEPLAN PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist34413TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598990558
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA A SHEPLAN PSYD
Provider Business Mailing Address
First Line : PO BOX 781983
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78278-1983
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12446 WEST AVE STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-2530
Country : US
Telephone Number : 210-729-2262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 09/21/2023

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Directions to “ TAMARA A SHEPLAN PSYD” Practice Location

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