Individual
DR. ROBERT DESMOND SHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1601 BRENNER AVE, 11M-2, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, 11M-2, SALISBURY, NC 28144-2515
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103072
NC
103TC0700X
Clinical Psychologist
103072
NC
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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