Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK EUGENE SHEPHERD
ActiveDERRICK EUGENE SHEPHERD is a Mental Health Counselor healthcare provider located in RICHVALE, California. NPI 1639711310 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · RICHVALE, CA
Registration Details
- NPI Number
- 1639711310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2019 (6.813373223879 yrs)
- Last Updated
- Jan 14, 2021
Practice Information
- Address
-
1229 BROADWAY STRICHVALE, CA, 95974Browse CA providers · Browse ZIP 95974
- Phone
- 5308824125
- Fax
- 5308945791
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.