Provider Demographics
NPI:1386510790
Name:SHUMAR, GWYNETH (MA, LMFT)
Entity type:Individual
Prefix:
First Name:GWYNETH
Middle Name:
Last Name:SHUMAR
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 BUSTLETON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3330
Mailing Address - Country:US
Mailing Address - Phone:610-537-5367
Mailing Address - Fax:215-288-4285
Practice Address - Street 1:7901 BUSTLETON AVE STE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3330
Practice Address - Country:US
Practice Address - Phone:610-537-5367
Practice Address - Fax:215-288-4285
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist