=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972828044
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARRY WILLIAM SCHUMER MSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2010
-----------------------------------------------------
Last Update Date | 04/01/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20600 EUREKA RD STE 819
-----------------------------------------------------
City | TAYLOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48180-5377
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-285-8282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 452 N ROOSEVELT ST UNIT 304
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48187-4871
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-444-4839
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 6801017785
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------