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

Susan L Shackelford, PHD & Associates, PA

Organization Clinical Psychologist · NPI 1205976099

Susan L Shackelford, PHD & Associates, PA is a Clinical Psychologist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 W Sunbridge Dr
Fayetteville, AR 72703-1825
Phone: (479) 443-5575
Fax: (479) 443-9554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 97-04P (AR)

Record details

NPI number1205976099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavonna Latta — Office Manager · (479) 443-5575
Other names Psychology & Counseling Associates
NPI enumeratedFebruary 8, 2007
Last updated in NPPESApril 14, 2011
Mailing address1 W Sunbridge Dr, Fayetteville, AR 72703-1825

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