Individual
SUMIO SHINOHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
872 MASSACHUSETTS AVE., STE. 2-2, 2-7, CAMBRIDGE, MA 02139
(617) 395-5806
Mailing address
1000 JEFFERSON ST., STE. 2C, LYNCHBURG, VA 24504
(617) 379-0496
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8645
MA
103TC0700X
Clinical Psychologist
8645
MA
Other
Enumeration date
01/11/2007
Last updated
03/03/2015
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