| Doctor Name: | MRS. TRICIA ANNE SHUMATE |
| NPI Number: | 1821279290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS SPEECH LANGUAGE P |
| License Number: | 00926758 |
| Business Practice Address: | 103 Shenandoah Junction Road Ta Lowery Elementary School Shenandoah Junction, WV - 25442 |
| Business Phone Number: | 3047287250 |
| Business Fax Number: | 3047287631 |
| Mailing Address: | 110 Mordington Avenue, CHARLESTOWN |
| State: | WV |
| Postal Code: | 25414 |
| Phone Number: | 3047259741 |
| Fax Number: | 3047245311 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 00926758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |