| Doctor Name: | MR. EDWARD MICHAEL SHUMATE |
| NPI Number: | 1003907262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 1217 |
| Business Practice Address: | Usameddac Wuerzburg Dept Of Behavioral Health Apo, AE - 09244 |
| Business Phone Number: | 01149981183811 |
| Business Fax Number: | 01149981183854 |
| Mailing Address: | Usameddac Wuerzburg, Attn Credentials Office Unit 26610 APO |
| State: | AE |
| Postal Code: | 09244 |
| Phone Number: | 011499318043616 |
| Fax Number: | 011499318043241 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |