Individual
ELIZABETH LANE SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4756
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11489
MA
Other
Enumeration date
10/12/2015
Last updated
05/10/2021
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