Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE SHACKFORD, PSY.D
Active Sole ProprietorSchool Psychologist · GALLOWAY, NJ
Registration Details
- NPI Number
- 1134405533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2011 (14.486682203933 yrs)
- Last Updated
- Oct 29, 2011
- License
-
2516 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 E JIMMIE LEEDS RDSUITE 182GALLOWAY, NJ, 082054126Browse NJ providers · Browse ZIP 08205
- Phone
- 6093258775
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.