Healthcare Provider Details

I. General information

NPI: 1255748133
Provider Name (Legal Business Name): DESIREE SCHUMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2014
Last Update Date: 07/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S ARLINGTON AVE
RENO NV
89501-1741
US

IV. Provider business mailing address

275 RIVERBOAT RD
DAYTON NV
89403-8023
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-1600
  • Fax:
Mailing address:
  • Phone: 775-450-1561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: