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

Individual provider Clinical Psychologist · NPI 1427081454

Dr. Susan L Shackelford, PHD is a Clinical Psychologist in Fayetteville, Arkansas. Qualified in 1996, 30 years ago. Practices with Susan L Shackelford, PHD and Associates, PA, a 2-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
30
Licensed in
AR
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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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 number1427081454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Susan L Shackelford, Phd And Associates, Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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