Individual
CATHERINE M SHISSLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 N ALVERNON WAY STE 101, TUCSON, AZ 85724-0001
(520) 694-8888
(520) 694-1640
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
(520) 874-3425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730798
—
AZ
Enumeration date
11/10/2006
Last updated
01/04/2008
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