Susan L Shackelford (NPI# 1427081454, PAC ID# 4284896655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1427081454 |
| PAC ID by PECOS | 4284896655 |
| Professional Enrollment ID | I20120501000242 |
| Full Name | Susan L Shackelford |
| Address |
1 W Sunbridge Dr Fayetteville AR 72703-1825 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 |
| Street Address |
1 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-1825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FAYETTEVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Susan L Shackelford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.