MEDICARE: KAREN S SHUMAN M.S.,CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2202003463	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	195324	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659471142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN S SHUMAN M.S.,CCC-SLP

Provider Business Mailing Address
First Line	:	15421 FOREST RD
Second Line	:	SUITE D
City	:	FOREST
State	:	VA
Zip	:	24551-2274
Country	:	US
Telephone Number	:	434-525-2394
Fax Number	:	434-525-2118

Provider Business Practice Location Address
First Line	:	15421 FOREST RD
Second Line	:	SUITE D
City	:	FOREST
State	:	VA
Zip	:	24551-2274
Country	:	US
Telephone Number	:	434-525-2394
Fax Number	:	434-525-2118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	02/10/2021

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Directions to “ KAREN S SHUMAN M.S.,CCC-SLP” Practice Location

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