Individual
NOAL R SHURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431
(253) 968-5906
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-5906
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 7243
FL
Other
Enumeration date
05/26/2006
Last updated
06/18/2019
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