Provider Demographics
NPI:1659471142
Name:SHUMAN, KAREN S (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15421 FOREST RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2274
Mailing Address - Country:US
Mailing Address - Phone:434-525-2394
Mailing Address - Fax:434-525-2118
Practice Address - Street 1:15421 FOREST RD
Practice Address - Street 2:SUITE D
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2274
Practice Address - Country:US
Practice Address - Phone:434-525-2394
Practice Address - Fax:434-525-2118
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA195324OtherANTHEM
VA010177022Medicaid
VA195324OtherANTHEM