| Doctor Name: | LEE S. SHUSTER |
| NPI Number: | 1285703181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW, LCSW |
| License Number: | 36870 |
| Business Practice Address: | 4313 Corrales Rd Corrales, NM - 870488663 |
| Business Phone Number: | 5058502684 |
| Business Fax Number: | 5058994306 |
| Mailing Address: | 218 Ashley Ln, CORRALES |
| State: | NM |
| Postal Code: | 870488923 |
| Phone Number: | 5058502684 |
| Fax Number: | 5058994306 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 36870 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |