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Individual

DR. JOHN FLOYD SHACKELFORD I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1701 GATEWAY BLVD STE 405, RICHARDSON, TX 75080-3627
(972) 979-1949
(972) 644-5512
Mailing address
1701 GATEWAY BLVD STE 405, RICHARDSON, TX 75080-3627
(972) 979-1949
(972) 644-5512

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22077
TX

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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