Provider Demographics
NPI:1033327242
Name:SHEPHERD, JUDITH THORPE (LPC, LMFT)
Entity Type:Individual
Prefix:PROF
First Name:JUDITH
Middle Name:THORPE
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LEES CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1215
Mailing Address - Country:US
Mailing Address - Phone:434-447-5980
Mailing Address - Fax:
Practice Address - Street 1:815 LEES CT
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1215
Practice Address - Country:US
Practice Address - Phone:434-447-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000132101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor