Search › New Jersey › 103TS0200X
Shane Shackford, PSY.D
NPI 1134405533 · on the registry since 2011 · sole proprietor
Practice
- Address
- 325 E Jimmie Leeds Rd
Suite 182
Galloway, NJ 08205 - Phone
- (609) 325-8775
- Organisation at this address
- Jennifer Cella-Roe, Lcsw, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey