Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE WARNER SHACKLETON, ED.D.
Active Sole ProprietorDR. BRUCE WARNER SHACKLETON, ED.D. is a Clinical Psychologist healthcare provider located in WAYLAND, Massachusetts. NPI 1750474383 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WAYLAND, MA
Registration Details
- NPI Number
- 1750474383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.849553372512 yrs)
- Last Updated
- Feb 26, 2010
- Licenses
-
2621 (MA)2621 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 MAIN STREET #3WAYLAND, MA, 01778Browse MA providers · Browse ZIP 01778
- Phone
- 5086556322
- Fax
- 5086559793
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
Other Clinical Psychologist Providers in WAYLAND, MA
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE RAY | PH.D. | 1922080324 |
| DR. NICOLINA MARIE FEDELE | PH.D. | 1316901911 |
| DR. JUDITH PARKER LEAVITT | ED.D. | 1619041621 |
| DR. SANFORD ROSENZWEIG | PHD | 1861569162 |
| DR. BARRY E. FOSTER | PSY.D. | 1851445407 |
| DR. ELIZABETH TRACE SLATER | PH.D. | 1598819732 |
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.