DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN L SHACKELFORD, PHD & ASSOCIATES, PA

Active Organization

SUSAN L SHACKELFORD, PHD & ASSOCIATES, PA is a Clinical Psychologist organization located in FAYETTEVILLE, Arkansas. NPI 1205976099 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FAYETTEVILLE, AR

Registration Details

NPI Number
1205976099
Provider Type
Organization
NPI Issued
Feb 8, 2007 (19.498066221998 yrs)
Last Updated
Apr 14, 2011
License
97-04P (AR)

Practice Information

Address
1 W SUNBRIDGE DR
FAYETTEVILLE, AR, 727031825
Browse AR providers · Browse ZIP 72703
Phone
4794435575
Fax
4794439554
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.