Chad Shepherd, PEER SUPPORT

Peer Specialist · Dayton, OH

Individual Active NPI

NPI number 1700610060

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone
(800) 829-5461

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NPI record

NPI
1700610060
Entity type
Individual (Type 1)
Enumeration date
August 29, 2024
Last updated
August 29, 2024
Certified
August 29, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X APS005329 OH

Mailing address

812 N Main St
Malta, OH 43758-9019
Phone
(740) 677-5407

About Chad Shepherd

Chad Shepherd, PEER SUPPORT is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 4977 Northcutt Pl, Dayton, OH 45414-3839. The NPI number 1700610060 was assigned on August 29, 2024 and the record was last updated on August 29, 2024.

Chad Shepherd lists a license in the registry: #APS005329 (OH) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chad Shepherd, PEER SUPPORT?

The NPI number is 1700610060.

What is the phone number of Chad Shepherd?

The phone number listed for the practice location is (800) 829-5461.

Where is Chad Shepherd located?

4977 Northcutt Pl, Dayton, OH 45414-3839.

What is the taxonomy code for Chad Shepherd?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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