Individual
KRISTY SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
96 W MEADOW RD, LOWELL, MA 01854-1421
(978) 866-3874
Mailing address
96 W MEADOW RD, LOWELL, MA 01854-1421
(978) 866-3874
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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