Provider Demographics
NPI:1073828752
Name:SHEPHERD, CAITLIN BRIANA (PHD)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:BRIANA
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 S PROSPECT ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2362
Mailing Address - Country:US
Mailing Address - Phone:413-345-6607
Mailing Address - Fax:413-858-7653
Practice Address - Street 1:26 S PROSPECT ST
Practice Address - Street 2:SUITE 5
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2362
Practice Address - Country:US
Practice Address - Phone:413-345-6607
Practice Address - Fax:413-858-7653
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling