Provider Demographics
NPI:1174695274
Name:SHEPLEY, CHRIS T (MA)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:T
Last Name:SHEPLEY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W ALDER ST
Mailing Address - Street 2:STE 304
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2863
Mailing Address - Country:US
Mailing Address - Phone:509-522-0274
Mailing Address - Fax:509-522-0274
Practice Address - Street 1:5 W ALDER ST
Practice Address - Street 2:STE 304
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2863
Practice Address - Country:US
Practice Address - Phone:509-522-0274
Practice Address - Fax:509-522-0274
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health