SHIYAN ADORE SHACKLEFORD
NPI 1255185799
Psychologist - Family in Detroit, MI
Active since April 12, 2024
About Shiyan Adore Shackleford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIYAN ADORE SHACKLEFORD (NPI 1255185799) is an individual family provider in Detroit, Michigan and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1255185799
Entity TypeIndividualFemale
Primary Taxonomy103TF0000X
Provider Legal NameSHIYAN ADORE SHACKLEFORD
Location Address40 DAVENPORT ST, APT 511ADetroit, MI 48201-2423
Mailing Address40 Davenport St, Apt 511aDetroit, MI 48201-2423 · (586) 265-0618
Phone(586) 265-0618
Sole ProprietorNo
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1255185799 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
40 DAVENPORT ST, Detroit, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255185799, enumerated as an "individual" on April 12, 2024.
The provider is located at 40 DAVENPORT ST APT 511A DETROIT, MI 48201 and the phone number is (586) 265-0618.
Psychologist with taxonomy code 103TF0000X and a focus in Family.
