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Contact Information

NATHAN SHACKELFORD
315 1ST AVE NW STE 101
HICKORY, NC28601-6169
 Phone: 828-322-6979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NATHAN SHACKELFORD · (Male)

NPI Number 1073483103
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2025
Last updated 11/05/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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