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Contact Information

THEA W WILSHIRE, PHD
630 SOUTH THIRD ST.
GLOBE, AZ85501
 Phone: 928-200-8733
 Fax: 928-475-4880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THEA W WILSHIRE · (Female)

NPI # 1134269202
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/07/2007
Last updated 01/18/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 3578
  • AZ License # AZ3578
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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