| Doctor Name: | MARILOU SHAUGHNESSY |
| NPI Number: | 1013976026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8234 |
| Business Practice Address: | 58 Elmhurst Rd Newton, MA - 024582233 |
| Business Phone Number: | 6173323577 |
| Business Fax Number: | |
| Mailing Address: | 58 Elmhurst Rd, NEWTON |
| State: | MA |
| Postal Code: | 024582233 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |