Most Relevant Information
Provider Data
| NPI Number: | 1003462649 |
| Provider Name: | WILLIAM SHEPPARD PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 222059 |
Most Important Dates
| Enumeration Date: | 08/09/2019 |
| Last Updated: | 08/09/2019 |
Provider Practice Location
301 W BURLINGTON AVE
FAIRFIELD
IA
525563242
Practice Location Phone/Fax
| Phone: | 6414725771 |
| Fax: |
Provider Mailing Location
301 W BURLINGTON AVE
FAIRFIELD
IA
525563242
Provider Mailing Phone/Fax
| Phone: | 6414725771 |
| Fax: |