Individual
DR. DANIEL E SHYBUNKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD,
Contact information
Practice address
108 HOUSTON ST, SUITE D, LEXINGTON, VA 24450-2455
(540) 464-3003
(540) 464-3181
Mailing address
PO BOX 1068, LEXINGTON, VA 24450-1068
(540) 464-3003
(540) 464-3181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001454
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007754035
—
VA
01
—
030528
VALUE OPTIONS
VA
01
—
086151
SENTARA HEALTH
VA
01
—
254526000
MAGELLAN
VA
01
—
260177
ANTHEM BLUE CROSS OF VA
VA
01
—
28051
VIRGINIA PREMIER
VA
01
—
541777975
CHAMPUS
VA
Enumeration date
03/26/2006
Last updated
09/25/2008
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