Provider Demographics
NPI:1851119168
Name:SHUMAN, WHITNEY (PHD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 FAIR OAKS BLVD APT 87
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2781
Mailing Address - Country:US
Mailing Address - Phone:559-679-6300
Mailing Address - Fax:
Practice Address - Street 1:12220 FAIR OAKS BLVD APT 87
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2781
Practice Address - Country:US
Practice Address - Phone:559-679-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33944103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling