Susan L Shackelford in Fayetteville - Clinical
Susan L Shackelford - NPI 1427081454
Susan L Shackelford is a Clinical in Fayetteville, Arkansas. Susan L Shackelford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan L Shackelford is 1427081454. The last update date is 2007-07-08.
Susan L Shackelford's current location address is 1 W Sunbridge Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4794435575 and fax number 4794439554. The mailing address for Susan L Shackelford is 1 W Sunbridge Dr, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Shackelford |
|---|---|
| Address | 1 W Sunbridge Dr, Fayetteville, Arkansas |
| Phone Number | 4794435575 |
| Fax Number | 4794439554 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1427081454 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 W Sunbridge Dr |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031825 |
| Phone Number | 4794435575 |
| Fax Number | 4794439554 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 97-04P |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan L Shackelford?
The Susan L Shackelford has been issued the NPI (National Provider Identifier) 1427081454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan L Shackelford is located?
The Susan L Shackelford is situated at the following address: 1 W Sunbridge Dr, Fayetteville, AR, 727031825.
What is Susan L Shackelford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan L Shackelford's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427081454 to Susan L Shackelford?
The Centers for Medicare & Medicaid Services assigned the 1427081454 to Susan L Shackelford on 2006-07-10.
As of what date were the details pertaining to Susan L Shackelford last refreshed?
The information related to the Susan L Shackelford, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930573
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