Organization
DANIEL E. SHYBUNKO, PHD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E SHYBUNKO PH.D. (PRESIDENT)
(540) 464-3003
Entity
Organization
Contact information
Practice address
108 HOUSTON ST STE D, LEXINGTON, VA 24450-2455
(540) 464-3003
(540) 464-3181
Mailing address
PO BOX 1068, LEXINGTON, VA 24450-1068
(540) 464-3003
(540) 464-3181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001454
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007754035
—
VA
Enumeration date
02/09/2010
Last updated
02/09/2010
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