| Shepherd Therapy Pllc | |
|
14332 21st Ave N Ste 200 Plymouth MN 55447-4566 | |
| (612) 564-9355 | |
| Not Available |
| Full Name | Shepherd Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14332 21st Ave N Ste 200, Plymouth, Minnesota |
| Authorized Official Name and Position | Jennifer Shepherd (OWNER) |
| Authorized Official Contact | 6125649355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Therapy Pllc 4190 Vinewood Lane N Ste 111 Pmb 403 Plymouth MN 55442-1771 Ph: (612) 564-9355 | Shepherd Therapy Pllc 14332 21st Ave N Ste 200 Plymouth MN 55447-4566 Ph: (612) 564-9355 |
| NPI Number | 1730993528 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730993528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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