Jessie Shacklette ED.S.

NPI # 

Practice Address:

6548 Orinoco Ave

Indianapolis, IN, 46227-4820

Practice Phone:

317-789-3728

License Number:

10346260

License State:

IN

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Psychologist

Taxonomy Specialization:

School

Taxonomy Code:

103TS0200X

Updated by NPPES on 9/25/2024. You can view the original data set for NPI # 1609693175 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Jessie Shacklette , ED.S. 's

CMS CPT® coding data

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Jessie Shacklette , ED.S. 's

CMS prescription data

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