Individual provider · Type 1 NPI
Bruce Warner Shackleton, ED.D.
Clinical Psychologist · Wayland, MA
Practice location
35 Main Street #3
Wayland, MA 01778
Fax (508) 655-9793
Mailing address
Post Office Box 5232
Wayland, MA 01778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 2621 (MA) |
| Psychologist | 103T00000X | 2621 (MA) |
Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1750474383
Bruce Warner Shackleton, ED.D.'s National Provider Identifier is 1750474383, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wayland, MA. The record was last updated on Feb 26, 2010.