DR. IRNA LYNN SHAMOS


Address: 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028
Phone: 4806649122

DR. IRNA LYNN SHAMOS (NPI# 1366798050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366798050
Entity Type Individual
Full Name DR. IRNA LYNN SHAMOS
Other Name DR. IRNA LYNN WOLF
Credential PH.D. ABPP
Practice Address 4516 East Onyx Avenue
Arizona Psychological Diagnostics, Plc
Phoenix
AZ 85028
Practice Telephone 4806649122
Practice Fax Number 4809512355
Mailing Telephone 4806649122
Mailing Fax Number 4809512355
Enumeration Date 2012-07-31
Last Update Date 2012-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 2082 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 4516 EAST ONYX AVENUE
ARIZONA PSYCHOLOGICAL DIAGNOSTICS, PLC
City PHOENIX
State AZ
Zip Code 85028

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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1386172732 Brett Andersen Clinical Neuropsychologist 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 2017-05-30
1164973467 Neuropsychology Associates, PC Clinical Neuropsychologist 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 2016-10-21
1437524733 Pinnacle Center, Inc. Clinical Neuropsychologist 4423 N 24th St, Phoenix, AZ 85016-5544 2015-12-11
1275969867 Kiran Amin Clinical Neuropsychologist 720 E Peoria Ave, Phoenix, AZ 85020-1575 2013-09-16
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1295007557 Robin C Ford Clinical Neuropsychologist 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 2012-02-02
1699954800 Barbara M Maxwell, Phd, Plc Clinical Neuropsychologist 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 2007-10-24
1861687360 Mary Lu Bushnell Clinical Neuropsychologist 650 E Indian School Rd # 116b, Phoenix, AZ 85012-1839 2007-09-09
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City PHOENIX
Zip Code 85028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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