Whalio Doctors

NPI 1053729285

Michael Garret Shumaker, PSYD

Practitioner Psychologist Jackson, MS

Practice location

Address
1151 N State St, Jackson, MS 39202-2407
Phone
(601) 352-7398
Mailing address
1151 N State St STE 212, Jackson, MS 39202-2467

Registered specialties (2)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 61-1099 (MS)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1767 (MS)

Registry record

NPI
1053729285
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2014
Record last updated
11 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.