1942478193 NPI number — MRS. YAEL O SHUMAN MFT

Table of content: MRS. YAEL O SHUMAN MFT (NPI 1942478193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942478193 NPI number — MRS. YAEL O SHUMAN MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHUMAN
Provider First Name:
YAEL
Provider Middle Name:
O
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OBERMAN
Provider Other First Name:
YAEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1942478193
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6053 S QUEBEC ST
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
CENTENNIAL
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-4503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-438-8234
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 INVERNESS DR W
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-5095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-749-7000
Provider Business Practice Location Address Fax Number:
303-889-4812
Provider Enumeration Date:
02/11/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  684 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)