| Doctor Name: | DR. MELISSA CLAIRE SHEARDWRIGHT |
| NPI Number: | 1144302431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1045 |
| Business Practice Address: | 152 Deming St South Windsor, CT - 060743740 |
| Business Phone Number: | 8606440305 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1097, 152 Deming Street SOUTH WINDSOR |
| State: | CT |
| Postal Code: | 060747097 |
| Phone Number: | 8606440305 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1045 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |