Individual
DR. CAROLINE M SHACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23 S MAIN ST STE 2B, HANOVER, NH 03755-2075
(603) 277-9110
Mailing address
23 S MAIN ST STE 2B, HANOVER, NH 03755-2075
(603) 277-9110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023007-1
NY
103T00000X
Psychologist
Primary
1434
NH
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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