Healthcare Provider Details

I. General information

NPI: 1992240543
Provider Name (Legal Business Name): SCHUYLER ANNE HILLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E FERRY ST
DETROIT MI
48202-3802
US

IV. Provider business mailing address

124 W MICHIGAN AVE APT 206
YPSILANTI MI
48197-5577
US

V. Phone/Fax

Practice location:
  • Phone: 313-833-2970
  • Fax:
Mailing address:
  • Phone: 734-945-1273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: