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General NPI Number Information
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NPI Number | 1457513087
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Entity Type | Organization
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Legal Business Name | H S SOMMERSCHIELD, PH.D., P C
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 575 S LAKE HURON SHORE DR
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City | HARRISVILLE
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State | MI
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Zip | 48740-9588
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Country | US
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Telephone | 989-724-3331
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Fax | 989-724-6334
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Provider Business Mailing Address
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Address Line | 575 S LAKE HURON SHORE DR
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City | HARRISVILLE
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State | MI
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Zip | 48740-9588
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Country | US
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Telephone | 989-724-3331
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Fax | 989-724-6334
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | HAROLD STANLEY SOMMERSCHIELD
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Credential | PH.D.
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Telephone | 989-724-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00905
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License Number State | MI
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