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

Individual provider Clinical Neuropsychologist · NPI 1194872168

Michele Dee Shackelford, PHD is a Clinical Neuropsychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

1430 2nd Ave Ste 103
New York, NY 10021-3313
Phone: (212) 434-4594
Fax: (212) 717-5691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 005459 (NY)

Record details

NPI number1194872168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007

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