| Simonsen & Shepard Behavioral Health | |
|
3811 Turtle Creek Blvd Suite 1925 Dallas TX 75219 | |
| (214) 443-7808 | |
| (214) 443-7807 |
| Full Name | Simonsen & Shepard Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 3811 Turtle Creek Blvd, Dallas, Texas |
| Authorized Official Name and Position | William D Shepard (OWNER/PARTNER) |
| Authorized Official Contact | 2144437808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simonsen & Shepard Behavioral Health 3811 Turtle Creek Blvd Suite 1925 Dallas TX 75219 Ph: (214) 443-7808 | Simonsen & Shepard Behavioral Health 3811 Turtle Creek Blvd Suite 1925 Dallas TX 75219 Ph: (214) 443-7808 |
| NPI Number | 1902131956 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 9436416096 |
|---|---|
| Medicare Enrollment ID | O20171206003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902131956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William D Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548225899 PECOS PAC ID: 9436108065 Enrollment ID: I20050120000610 |
| Provider Name | Gregory O Simonsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356306690 PECOS PAC ID: 2062466626 Enrollment ID: I20050307000211 |
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