Provider Demographics
NPI:1013621960
Name:SHUMAN, CHRISTA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 BLANCO DR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4441
Mailing Address - Country:US
Mailing Address - Phone:512-635-2778
Mailing Address - Fax:
Practice Address - Street 1:129 BLANCO DR
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4441
Practice Address - Country:US
Practice Address - Phone:512-635-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist