Healthcare Provider Details

I. General information

NPI: 1972828044
Provider Name (Legal Business Name): BARRY WILLIAM SCHUMER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20600 EUREKA RD STE 819
TAYLOR MI
48180-5377
US

IV. Provider business mailing address

452 N ROOSEVELT ST UNIT 304
CANTON MI
48187-4871
US

V. Phone/Fax

Practice location:
  • Phone: 734-285-8282
  • Fax:
Mailing address:
  • Phone: 734-444-4839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6801017785
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: