Provider Demographics
NPI:1316012438
Name:MURJI, SHEMIRA (PHD)
Entity Type:Individual
Prefix:
First Name:SHEMIRA
Middle Name:
Last Name:MURJI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3735 E NAMBE CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3874
Mailing Address - Country:US
Mailing Address - Phone:623-203-3336
Mailing Address - Fax:
Practice Address - Street 1:4047 N 40TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5206
Practice Address - Country:US
Practice Address - Phone:623-203-3336
Practice Address - Fax:602-957-2837
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3597103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical