Individual
DR. CAROLINE M SHACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6300 BEE CAVES RD BLDG 2-100, AUSTIN, TX 78746-5842
(512) 572-0157
Mailing address
6300 BEE CAVES RD BLDG 2-100, AUSTIN, TX 78746-5842
(512) 572-0157
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023007-1
NY
103T00000X
Psychologist
048.0134224
VT
103T00000X
Psychologist
Primary
1434
NH
103T00000X
Psychologist
40842
TX
103T00000X
Psychologist
6997
NC
103T00000X
Psychologist
PSY.0006812
CO
Other
Enumeration date
01/14/2019
Last updated
06/12/2026
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