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Contact Information

JOANN L SHIMABUKURO, PSY.D., M.A., M.S.
7219 N LITCHFIELD RD
56 MEDICAL GROUP
LUKE AFB, AZ85309-1529
 Phone: 623-856-7579
 Fax: 623-856-4433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOANN L SHIMABUKURO · (Female)

NPI # 1053680843
Status Active
Credentials PSY.D., M.A., M.S.
Entity Individual
Enumeration date 12/22/2011
Last updated 12/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # PSY1298
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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