Most Relevant Information
Provider Data
| NPI Number: | 1003226713 |
| Provider Name: | KRISTY SHOCKLEY M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0100X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2014 |
| Last Updated: | 05/02/2014 |
Provider Practice Location
96 W MEADOW RD
LOWELL
MA
018541421
Practice Location Phone/Fax
| Phone: | 9788663874 |
| Fax: |
Provider Mailing Location
96 W MEADOW RD
LOWELL
MA
018541421
Provider Mailing Phone/Fax
| Phone: | 9788663874 |
| Fax: |