Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 8172 | MA |
Y | 103T00000X | Psychologist | 8172 | MA |
NPI | 1003806175 |
---|---|
Provider Name | Dr. David M Shumaker |
First Address | Cohasset, MA 02025-1708 |
Second Address | Cohasset, MA 02025-1708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 08/07/2007 |