Provider Demographics
NPI:1376600270
Name:SHUMAN, ABBY JILL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:JILL
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 STRAWBERRY HILL RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5757
Mailing Address - Country:US
Mailing Address - Phone:978-264-2953
Mailing Address - Fax:978-264-2056
Practice Address - Street 1:4 STRAWBERRY HILL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5757
Practice Address - Country:US
Practice Address - Phone:978-264-2953
Practice Address - Fax:978-264-2056
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8275103TA0400X, 103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TE1100X, 103TF0000X, 103TP0814X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASHW51394Medicare ID - Type UnspecifiedPSYCHOLOGIST