MEDICARE: DR. SUSAN ELISABETH SCHUMACHER PHD (ABD), LPC, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC9225	MD
2	101YP2500X	Professional Counselor	PC007222	PA

General Provider Information

NPI Number	:	1104399831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN ELISABETH SCHUMACHER PHD (ABD), LPC, LCPC

Provider Business Mailing Address
First Line	:	1064 WALNUT AVE
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-9617
Country	:	US
Telephone Number	:	610-745-0973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1064 WALNUT AVE
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-9617
Country	:	US
Telephone Number	:	610-745-0973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2019
Last Update Date	:	01/04/2019

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