DR. BRUCE SHACKLETON, ED.D.
Psychologist - Clinical
Active
Individual
NPI: 1750474383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 2621 (MA) |
| Psychologist | 103T00000X | No | 2621 (MA) |
Frequently Asked Questions
NPI 1750474383 is the National Provider Identifier for DR. BRUCE SHACKLETON, ED.D., a Psychologist - Clinical provider located in Wayland, MA. This NPI was enumerated on October 2, 2006.
DR. BRUCE SHACKLETON, ED.D. practices at 35 MAIN STREET #3, Wayland, MA 01778.
Quick Facts
- NPI
- 1750474383
- Type
- Individual
- Enumerated
- Oct 2, 2006
- Last Updated
- Feb 26, 2010
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