Provider Demographics
NPI:1023383858
Name:LUMAR, SHELIA ELAINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHELIA
Middle Name:ELAINE
Last Name:LUMAR
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 1:5912 PINE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9521
Mailing Address - Country:US
Mailing Address - Phone:972-369-6959
Mailing Address - Fax:
Practice Address - Street 1:5912 PINE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-9521
Practice Address - Country:US
Practice Address - Phone:972-369-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65876101YP2500X
11595101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45-465-3550OtherEIN