Healthcare Provider Details
I. General information
NPI: 1538409586
Provider Name (Legal Business Name): DAVID D SCHUH PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2013
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 MADISON AVE
MORRISTOWN NJ
07960-7310
US
IV. Provider business mailing address
26 MADISON AVE
MORRISTOWN NJ
07960-7310
US
V. Phone/Fax
- Phone: 973-796-3760
- Fax: 973-796-3769
- Phone: 973-796-3760
- Fax: 973-796-3769
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00378100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: