Bruce W Shackleton (NPI# 1750474383, PAC ID# 4587644422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1750474383 |
| PAC ID by PECOS | 4587644422 |
| Professional Enrollment ID | I20040722000107 |
| Full Name | Bruce W Shackleton |
| Address |
35 Main St Suite 3 Wayland MA 01778-5037 |
| Phone Number | 5086556322 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1979 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 35 Main St, Suite 3, Wayland, MA 01778-5037 | 5086556322 |
| Street Address |
35 MAIN ST SUITE 3 |
| City | WAYLAND |
| State | MA |
| Zip | 01778-5037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Douglas Doherty | Chiropractic | 35 Main St, Saugus, MA 01906-2305 | |
| Thomas E Johnson | Clinical Social Worker | Apex Down River Behavioral Health | 35 Main St, Suite A, Belleville, MI 48111-3286 |
| Christopher D Gordon | Psychiatry | 35 Main St, Suite 3, Wayland, MA 01778-5037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen K Peters | Clinical Social Worker | 17 Waltham Rd, Wayland, MA 01778-1128 | |
| Nina D Marlowe | Psychiatry | 187 Concord Rd, Wayland, MA 01778-1205 | |
| Allan A Wyatt | Clinical Psychologist | 187 Concord Rd, Wayland, MA 01778-1205 | |
| Matthew A Cooper | Chiropractic | 31 Cochituate Rd, Wayland, MA 01778-1804 | |
| Ellen M Penso | Obstetrics/gynecology | 241 Boston Post Rd, 3a, Wayland, MA 01778-1816 | |
| Carolyn D Sacchiero | Physical Therapy | 524 Boston Post Rd, Wayland, MA 01778-1833 | |
| Lynne H King | Physical Therapy | 524 Boston Post Rd, Wayland, MA 01778-1833 | |
| Aditi Baweja Chandra | Physical Therapy | 524 Boston Post Rd, Wayland, MA 01778-1833 | |
| Janna Yamron | Registered Dietitian Or Nutrition Professional | Sudbury Racquet Club Inc | 524 Boston Post Rd, Wayland, MA 01778-1833 |
| Kenneth Bruce Hazirjian | Chiropractic | 524 Boston Post Rd, Wayland, MA 01778-1833 | |
| Find all physicians in zip 01778 | |||
| City | WAYLAND |
| Zip Code | 01778 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | WAYLAND + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Bruce W Shackleton.
| 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.