Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 8275 | MA |
N | 103T00000X | Psychologist | 8275 | MA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 8275 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 8275 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 8275 | MA |
N | 103G00000X | Clinical Psychologist | 8275 | MA |
N | 103TC0700X | Clinical Psychologist | 8275 | MA |
N | 103TC1900X | Counseling Psychologist | 8275 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8275 | MA |
N | 103TE1100X | Exercise & Sports Psychologist | 8275 | MA |
N | 103TF0000X | Family Psychologist | 8275 | MA |
N | 103TP0814X | Psychoanalysis | 8275 | MA |
N | 103TP2701X | Group Psychotherapist | 8275 | MA |
NPI | 1376600270 |
---|---|
Provider Name | Dr. Abby Jill Shuman |
First Address | Acton, MA 01720-5757 |
Second Address | Acton, MA 01720-5757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |