NPI 1134733967

Elizabeth Ann Shepard-Bynum

Practitioner Peer Specialist Gautier, MS

Practice location

Address: 3407 Shamrock CT, Gautier, MS 39553-5337
Phone: (228) 497-0690

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1134733967
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2020
Record last updated: 31 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.