Individual
NUREIN MIGYIMAH SHAIBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1342 W PARK AVE, CHANDLER, AZ 85224-8663
(480) 508-1147
(480) 508-1148
Mailing address
1342 W PARK AVE, CHANDLER, AZ 85224-8663
(646) 944-9582
(480) 508-1148
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
BH5555
AZ
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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