Provider Demographics
NPI:1114059003
Name:SHEPHERD, SARAH ASHLEY (BS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ASHLEY
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 JACKSON THISTLE
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2866
Mailing Address - Country:US
Mailing Address - Phone:615-687-1721
Mailing Address - Fax:615-687-1799
Practice Address - Street 1:275 CUMBERLAND BND
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1803
Practice Address - Country:US
Practice Address - Phone:615-687-1721
Practice Address - Fax:615-687-1799
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker