Provider Demographics
NPI:1922982685
Name:SHEPARD, KATELYN LEE (MSPS, LPC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:LEE
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:MSPS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 COUNTY ROAD 3440
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:OK
Mailing Address - Zip Code:74872-5302
Mailing Address - Country:US
Mailing Address - Phone:580-235-3967
Mailing Address - Fax:580-235-3967
Practice Address - Street 1:10215 COUNTY ROAD 3440
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:OK
Practice Address - Zip Code:74872-5302
Practice Address - Country:US
Practice Address - Phone:580-235-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional