| Doctor Name: | SHAWNDRA RENEE BUKER |
| NPI Number: | 1043476021 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA/ ED |
| License Number: | |
| Business Practice Address: | 902 E Eason Ave Buckeye, AZ - 853262602 |
| Business Phone Number: | 6233869708 |
| Business Fax Number: | 6233869706 |
| Mailing Address: | 902 E Eason Ave, BUCKEYE |
| State: | AZ |
| Postal Code: | 853262602 |
| Phone Number: | 6233869708 |
| Fax Number: | 6233869706 |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |