| Shepards Way Inc. | |
|
1010 N Central Ave Glendale CA 91202-2937 | |
| (818) 770-5723 | |
| Not Available |
| Full Name | Shepards Way Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1010 N Central Ave, Glendale, California |
| Authorized Official Name and Position | Christine Leyva Buccio (OWNER) |
| Authorized Official Contact | 8187705723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepards Way Inc. 2629 Foothill Blvd # 487 La Crescenta CA 91214-3511 Ph: (818) 770-5723 | Shepards Way Inc. 1010 N Central Ave Glendale CA 91202-2937 Ph: (818) 770-5723 |
| NPI Number | 1942982210 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942982210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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