Provider Demographics
NPI:1306261706
Name:SHUMAKER, ERIK ANDREW (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANDREW
Last Name:SHUMAKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 NEPONSET ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2970
Mailing Address - Country:US
Mailing Address - Phone:703-955-0228
Mailing Address - Fax:
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:#222
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-751-5880
Practice Address - Fax:401-751-5881
Is Sole Proprietor?:No
Enumeration Date:2014-02-22
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist