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Dr. Bruce G Shepard, PHD
Professional Counselor in Kitty Hawk, North Carolina
NPI 1770768491

Bruce G Shepard is a Professional Counselor based in Kitty Hawk, NC and is specialized in Professional. Bruce G Shepard practices in Kitty Hawk, NC and has the professional credentials of PHD. The NPI Number for Bruce G Shepard is 1770768491 and holds a License No. 480 (North Carolina).

The current practice location address for Bruce G Shepard is 108 Pinnacle Court, Kitty Hawk, NC and can be reached out via phone at 252-261-5454.

Location: 108 Pinnacle Court, Kitty Hawk, NC, 27949-5911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770768491
Provider Name
Bruce G Shepard
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
108 Pinnacle Court, Kitty Hawk, NC, 27949-5911
Phone Number
252-261-5454
Fax Number
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
75788 01 NC BCBSNC
institution
Provider Business Practice Location Address Details
Address
108 Pinnacle Court
City
Kitty Hawk
State
North Carolina
Zip
27949-5911
Phone Number
252-261-5454
Fax Number
person
Provider Business Mailing Address Details
Address
108 Pinnacle Court
City
Kitty Hawk
State
North Carolina
Zip
27949-5911
Phone Number
252-261-5454
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
480 (North Carolina)
Definition
Definition to come...
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