| Daniel E. Shybunko, Phd., P.c. | |
|
108 Houston St Ste D Lexington VA 24450-2455 | |
| (540) 464-3003 | |
| (540) 464-3181 |
| Full Name | Daniel E. Shybunko, Phd., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 108 Houston St Ste D, Lexington, Virginia |
| Authorized Official Name and Position | Daniel E Shybunko (PRESIDENT) |
| Authorized Official Contact | 5404643003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E. Shybunko, Phd., P.c. Po Box 1068 Lexington VA 24450-1068 Ph: (540) 464-3003 | Daniel E. Shybunko, Phd., P.c. 108 Houston St Ste D Lexington VA 24450-2455 Ph: (540) 464-3003 |
| NPI Number | 1992037360 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992037360 | NPI | - | NPPES |
| 007754035 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810001454 (Virginia) | Primary |
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