Individual
DR. JOANN LEE SHIMABUKURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., M.A., M.S.
Contact information
Practice address
7219 N LITCHFIELD RD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309-1529
(623) 856-7579
(623) 856-4433
Mailing address
7219 N LITCHFIELD RD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309-1529
(623) 856-7579
(623) 856-4433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1298
HI
103TH0004X
Health Psychologist
PSY1298
HI
Other
Enumeration date
12/22/2011
Last updated
12/03/2012
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