DR. Joann Lee Shimabukuro, PSY.D., M.A., M.S.

NPI #1053680843 in Luke Afb, Arizona

Provider Information

NPI Number: 1053680843
Entity Type: Individual
Name: DR. Joann Lee Shimabukuro, PSY.D., M.A., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D., M.A., M.S.
Enumeration Date: Dec 22, 2011
Last Updated: Dec 3, 2012

Practice Location

Address: 7219 N LITCHFIELD RD
Address 2: 56 MEDICAL GROUP
City: Luke Afb
State: Arizona
ZIP Code: 85309-1529
Phone: (623) 856-7579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Health — Health	103TH0004X

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