Doctor Name: | MRS. AMY KOLB SHUMAN |
NPI Number: | 1013123314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NBCC |
License Number: | 3850 |
Business Practice Address: | 118 Reynolda Hall, University Counseling Center Wake Forest University Winston-salem, NC - 27109 |
Business Phone Number: | 3367585273 |
Business Fax Number: | 3367581991 |
Mailing Address: | 420 Lawndale Dr, WINSTON SALEM |
State: | NC |
Postal Code: | 271044016 |
Phone Number: | 3363012279 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |