Elizabeth L Shum, PSYD
Psychologist, Clinical in East Boston, Massachusetts
1457722829- Practice location
- 10 Gove St, East Boston, MA 02128-1920
- Phone
- 617-569-5800
- Fax
- 617-568-4756
- Last updated
- May 10, 2021
Elizabeth Lane Shum is a Psychologist, Clinical based in East Boston, MA. Elizabeth Lane Shum practices in East Boston, MA and has the professional credentials of PSYD. The NPI Number for Elizabeth Lane Shum is 1457722829 and holds a License No. 11489 (MA). The current practice location address for Elizabeth Lane Shum is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4756.
Provider Profile Details
- NPI Number
- 1457722829
- Provider Name
- Elizabeth Lane Shum
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Gove St, East Boston, MA 02128-1920
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4756
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 12, 2015
- Last Update Date
- May 10, 2021
- Certification Date
- May 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4756
Provider Business Mailing Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- MA
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4756
License Information
- License Number
- 11489
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near East Boston, MA
View all Psychologist, Clinical providers in East Boston →- Felix TredePsychologist, Clinical · NPI 1174958243
- Maria I Ajanel Ziegra, CNPNurse Practitioner, Family · NPI 1780383067
- Kayla DuvallNurse Practitioner, Adult Health · NPI 1245185586
- Brian Kennedy SilvaSocial Worker, Clinical · NPI 1154221349
- Healing With Hayley, LLCClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1679499917
- Walgreen CoPharmacy · NPI 1790790905
Frequently Asked Questions
What is the NPI number of Elizabeth L Shum, PSYD?
The NPI number of Elizabeth L Shum, PSYD is 1457722829. It was assigned on October 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Elizabeth L Shum, PSYD?
Elizabeth L Shum, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11489.
Where does Elizabeth L Shum, PSYD practice?
The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4756 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457722829 directly on the NPPES registry website.