Organization
EMILY SHUM AND ASSOCIATES
Active
Other names
Emily Shum and Associates, Wholistic Health Collaborative, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY WEAR SHUM PH.D. (OWNER)
(909) 239-9124
Entity
Organization
Contact information
Practice address
9033 BASE LINE RD STE A, RANCHO CUCAMONGA, CA 91730-1214
(909) 293-9124
Mailing address
9033 BASE LINE RD STE A, RANCHO CUCAMONGA, CA 91730-1214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154986370
NPPES
—
01
—
1245791490
NPPES
—
05
—
1245791490
—
CA
Enumeration date
05/10/2024
Last updated
05/10/2024
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