Bruce Warner Shackleton in Wayland - Clinical
Bruce Warner Shackleton - NPI 1750474383
Bruce Warner Shackleton is a Clinical in Wayland, Massachusetts. Bruce Warner Shackleton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Warner Shackleton is 1750474383. The last update date is 2010-02-26.
Bruce Warner Shackleton's current location address is Post Office Box 5232, Wayland, Massachusetts. You can contact this provider via phone number 5086556322 and fax number 5086559793. The mailing address for Bruce Warner Shackleton is Post Office Box 5232, Wayland, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Warner Shackleton |
|---|---|
| Address | Post Office Box 5232, Wayland, Massachusetts |
| Phone Number | 5086556322 |
| Fax Number | 5086559793 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1750474383 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2010-02-26 |
Provider Mailing Address Detail
| Address | Post Office Box 5232 |
|---|---|
| City | Wayland |
| State | Massachusetts (MA) |
| Post Code | 1778 |
| Phone Number | 5086556322 |
| Fax Number | 5086559793 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2621 |
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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 identifier code issued to Bruce Warner Shackleton by the Centers for Medicare & Medicaid Services?
The Bruce Warner Shackleton has been assigned the NPI (National Provider Identifier) 1750474383. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bruce Warner Shackleton is geographically located?
The Bruce Warner Shackleton is physically situated at the following location: Post Office Box 5232, Wayland, MA, 1778.
What is Bruce Warner Shackleton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce Warner Shackleton is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Bruce Warner Shackleton receive its 1750474383 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Warner Shackleton was assigned its 1750474383 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bruce Warner Shackleton most recently updated?
The details pertaining to the Bruce Warner Shackleton, including its address, specialty, and other relevant information, were last refreshed on 2010-02-26.