Provider Demographics
NPI:1689885881
Name:SHUMSKY, ALINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:SHUMSKY
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 1:35 COLLINSBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-8212
Mailing Address - Country:US
Mailing Address - Phone:207-729-0426
Mailing Address - Fax:
Practice Address - Street 1:35 COLLINSBROOK RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-8212
Practice Address - Country:US
Practice Address - Phone:207-729-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS317103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool