Individual
SUSAN L. SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2749
(816) 364-4300
(816) 279-8148
Mailing address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2749
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2009030855
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12114205
CAQH
—
01
—
1245485523
NPI
—
Enumeration date
12/01/2008
Last updated
10/13/2014
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