Healthcare Provider Details

I. General information

NPI: 1952211849
Provider Name (Legal Business Name): AMY HUME-SIZER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 STADIUM DR
SAINT JOSEPH MI
49085-1899
US

IV. Provider business mailing address

2521 STADIUM DR
SAINT JOSEPH MI
49085-1899
US

V. Phone/Fax

Practice location:
  • Phone: 269-926-3219
  • Fax: 269-926-3294
Mailing address:
  • Phone: 269-926-3219
  • Fax: 269-926-3294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801096303
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: