Provider Demographics
NPI:1891875480
Name:SHUMAN, SHEILA FELSMAN (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:FELSMAN
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TUFTS ST
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1609
Mailing Address - Country:US
Mailing Address - Phone:781-631-8588
Mailing Address - Fax:610-545-5098
Practice Address - Street 1:14 TUFTS ST
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-1609
Practice Address - Country:US
Practice Address - Phone:781-631-8588
Practice Address - Fax:610-545-5098
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000LM0752OtherBC/BS PROVIDER NUMBER
MA4724OtherLMHC LICENSE