Provider Demographics
NPI:1396840724
Name:RATTET, SHELLEY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:L
Last Name:RATTET
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SALEM END ROAD
Mailing Address - Street 2:SUITE 15 A
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-875-9265
Mailing Address - Fax:
Practice Address - Street 1:75 SECOND AVE
Practice Address - Street 2:SUITE 320 HALLOWELL CENTER
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-726-6698
Practice Address - Fax:781-726-6725
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8293103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical