Individual
DR. SHANA BURGOS-DESTEPHANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12000 W EMIGH RD, TUCSON, AZ 85743-9300
(520) 616-6400
Mailing address
7407 W TENDERFOOT DR, TUCSON, AZ 85757-8551
(520) 977-3995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005170
AZ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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