Individual
MATTHEW SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28046 WATSON RD, DEFIANCE, OH 43512-8851
(419) 446-2705
Mailing address
PO BOX 53001, PETTISVILLE, OH 43553-0001
(419) 466-2705
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20753405
OH
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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