Most Relevant Information
Provider Data
| NPI Number: | 1003665084 |
| Provider Name: | BENJAMIN SHEPHERD MS |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0100X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2024 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
85 E NEWTON ST # M912
BOSTON
MA
021183553
Practice Location Phone/Fax
| Phone: | 6174144645 |
| Fax: |
Provider Mailing Location
134 HARMONY BRASS CASTLE RD
PHILLIPSBURG
NJ
088659351
Provider Mailing Phone/Fax
| Phone: | 9082356262 |
| Fax: |