Individual
DR. JEREMY SHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10845 OLIVE BLVD STE 150, SAINT LOUIS, MO 63141-7760
(314) 561-9757
Mailing address
10845 OLIVE BLVD STE 150, SAINT LOUIS, MO 63141-7760
(314) 561-9757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2016037822
MO
Other
Enumeration date
08/02/2013
Last updated
11/30/2016
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