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Individual

DR. MELISSA CLAIRE SHEARDWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
18 DOG LANE, OFFICE D, STORRS, CT 06268
(860) 617-5632
Mailing address
PO BOX 595, STORRS, CT 06268
(860) 644-0305

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002772
CT
103TC0700X
Clinical Psychologist
1045
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30422928
NH
Enumeration date
10/19/2006
Last updated
06/20/2022
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