Search › Indiana › 1041C0700X
Bryan Shepard, LCSW
NPI 1366828865 · on the registry since 2015 · sole proprietor
Practice
- Address
- 520 S Walnut St
Bloomington, IN 47401 - Phone
- (812) 502-4100
- Fax
- (812) 502-4200
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana