BURTON HALE SHEPHERD JR.


Address: 5220 Mckinney Ave Ste 202, Dallas, TX 75205-3382
Phone: 2144384835

BURTON HALE SHEPHERD JR. (NPI# 1811439235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811439235
Entity Type Individual
Full Name BURTON HALE SHEPHERD JR.
Credential LPC
Practice Address 5220 Mckinney Ave Ste 202
Dallas
TX 75205-3382
Practice Telephone 2144384835
Mailing Telephone 2144384835
Enumeration Date 2016-11-16
Last Update Date 2016-11-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
69977 TX Behavioral Health & Social Service Providers

Office Location

Street Address 5220 MCKINNEY AVE STE 202
City DALLAS
State TX
Zip Code 75205-3382

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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