MEDICARE: ANNA SHUMWAY LMFT

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	106H00000X	Marriage & Family Therapist	LMFT83217	CA

General Provider Information

NPI Number	:	1841696028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SHUMWAY LMFT

Provider Business Mailing Address
First Line	:	14156 MAGNOLIA BLVD STE 105
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-6410
Country	:	US
Telephone Number	:	818-825-5789
Fax Number	:

Provider Business Practice Location Address
First Line	:	14156 MAGNOLIA BLVD STE 105
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-6410
Country	:	US
Telephone Number	:	818-825-5789
Fax Number	:

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

Provider Enumeration Date	:	11/14/2014
Last Update Date	:	09/17/2021

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