| Doctor Name: | STEPHEN GREGORY SHUMATE |
| NPI Number: | 1043423692 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 68 |
| Business Practice Address: | 1263 La Brant Rd Bigfork, MT - 599116030 |
| Business Phone Number: | 4068374660 |
| Business Fax Number: | |
| Mailing Address: | 1263 La Brant Rd, BIGFORK |
| State: | MT |
| Postal Code: | 599116030 |
| Phone Number: | 4068374660 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 68 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |