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Emily Wear Shum

Psychologist

Behavioral Health & Social Service Providers

10601 Civic Center Dr Ste 150, Rancho Cucamonga, CA 91730-7682

PECOS Enrollment

This provider is enrolled in PECOS as EMILY SHUM.

Based on the most recent information from CMS, provider Emily Wear Shum is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154986370
Provider Type
Individual
Full Name
Shum, Emily Wear
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2019
Last Updated
10/18/2022

Contact Information

Practice Location

10601 Civic Center Dr Ste 150, Rancho Cucamonga, CA 91730-7682

(909) 293-9124

Unlisted Fax

Mailing Location

10601 Civic Center Dr Ste 150, Rancho Cucamonga, CA 91730-7682

(909) 293-9124

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY30752 California

Emily Wear Shum

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Glidden, Matthew C

Chung, Daniel

Adhami, Sepideh

Seffinger, Deborah

Gunn Psychological Services, Inc.

Chovanec, Tracy

Health Service Alliance

Inland Pacific Psychological Services

Lai, Pean

Tamanaha, Andrew J