Individual
DANIEL SHIRBROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7293 DUMOSA AVE, #7, YUCCA VALLEY, CA 92284-3700
(760) 369-7166
(760) 369-7167
Mailing address
PO BOX 1105, YUCCA VALLEY, CA 92286-1105
(760) 369-7166
(760) 369-7167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4161
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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