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Damon Wyatt Shepherd
Assistive Technology Practitioner Audiologist in Winston Salem, North Carolina
NPI 1780202051

Damon Wyatt Shepherd is an Assistive Technology Practitioner Audiologist based in Winston Salem, NC and is specialized in Assistive Technology Practitioner. Damon Wyatt Shepherd practices in Winston Salem, NC. The NPI Number for Damon Wyatt Shepherd is 1780202051 and holds a License No. 1267 (North Carolina).

The current practice location address for Damon Wyatt Shepherd is 751 Bethesda Rd Ste 100, Winston Salem, NC and can be reached out via phone at 336-774-1113.

Location: 751 Bethesda Rd Ste 100, Winston Salem, NC, 27103-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780202051
Provider Name
Damon Wyatt Shepherd
Credential
Provider Entity Type
Individual
Gender
Male
Address
751 Bethesda Rd Ste 100, Winston Salem, NC, 27103-3300
Phone Number
336-774-1113
Fax Number
Provider Enumeration Date
07/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 Bethesda Rd Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-3300
Phone Number
336-774-1113
Fax Number
person
Provider Business Mailing Address Details
Address
751 Bethesda Rd Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-3300
Phone Number
336-774-1113
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
Assistive Technology Practitioner
Taxonomy
231HA2400X
License No.
1267 (North Carolina)
Definition
Definition to come...
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