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

Dr. Bruce Warner Shackleton, EDD

Individual provider Clinical Psychologist · NPI 1750474383

Dr. Bruce Warner Shackleton, EDD is a Clinical Psychologist in Wayland, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

35 Main St #3
Wayland, MA 01778
Phone: (508) 655-6322
Fax: (508) 655-9793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2621 (MA)
Psychologist Taxonomy 103T00000X · Licence 2621 (MA)

Record details

NPI number1750474383
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESFebruary 26, 2010

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