| Melissa Shepard, Md, Llc | |
|
65 Duke St Ste 107 Prince Frederick MD 20678-6128 | |
| (704) 274-2219 | |
| (704) 582-7160 |
| Full Name | Melissa Shepard, Md, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 65 Duke St Ste 107, Prince Frederick, Maryland |
| Authorized Official Name and Position | Martha Montjoy Kearse (VICE PRESIDENT) |
| Authorized Official Contact | 7042742219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Shepard, Md, Llc 4117 Park Rd # 12235 Charlotte NC 28209-2214 Ph: () - | Melissa Shepard, Md, Llc 65 Duke St Ste 107 Prince Frederick MD 20678-6128 Ph: (704) 274-2219 |
| NPI Number | 1760131361 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760131361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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Center For Children Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 Main St, Suite 202, Prince Frederick, MD 20678 Phone: 410-535-3047 Fax: 410-535-3890 | |
Utopia Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Duke St, Prince Frederick, MD 20678 Phone: 301-220-2842 Fax: 301-220-3842 | |
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