Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadybrook Psychological Services PLLC

Organization Clinical Psychologist · NPI 1225799257

Shadybrook Psychological Services PLLC is a Clinical Psychologist in Clemmons, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2554 Lewisville Clemmons Rd Ste 304
Clemmons, NC 27012-8749
Phone: (636) 487-7654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1225799257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susanne Palmer — Owner/Authorized Official · (336) 200-8808
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address2554 Lewisville Clemmons Rd Ste 304, Clemmons, NC 27012-8749

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