Provider Demographics
NPI:1942478193
Name:SHUMAN, YAEL O (MFT)
Entity Type:Individual
Prefix:MRS
First Name:YAEL
Middle Name:O
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:YAEL
Other - Middle Name:
Other - Last Name:OBERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:6053 S QUEBEC ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4503
Mailing Address - Country:US
Mailing Address - Phone:720-438-8234
Mailing Address - Fax:
Practice Address - Street 1:155 INVERNESS DR W
Practice Address - Street 2:SUITE 140
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5095
Practice Address - Country:US
Practice Address - Phone:303-749-7000
Practice Address - Fax:303-889-4812
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO684106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist