Provider Demographics
NPI:1477682482
Name:SHEPARD, RICHARD F (MS LMHC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:F
Last Name:SHEPARD
Suffix:
Gender:M
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 NORTH ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6137
Mailing Address - Country:US
Mailing Address - Phone:850-513-9262
Mailing Address - Fax:850-681-8512
Practice Address - Street 1:1228 NORTH ADAMS ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6137
Practice Address - Country:US
Practice Address - Phone:850-513-9262
Practice Address - Fax:850-681-8512
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1509101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLUPAH0307372OtherBEECHSTREET
FLUPAH0307372OtherBEECHSTREET