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NPI Code Detail

MEDICARE: HEATHER SCHUCK LICSW PIP

MEDICARE: HEATHER SCHUCK LICSW PIP
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
11041C0700XClinical Social Worker1522-4291CAL

General Provider Information

NPI Number : 1427640929
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER SCHUCK LICSW PIP
Provider Business Mailing Address
First Line : 861 SHADES CREST RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35226-1973
Country : US
Telephone Number : 205-422-5001
Fax Number :
Provider Business Practice Location Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-422-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2021
Last Update Date : 02/05/2021

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Directions to “ HEATHER SCHUCK LICSW PIP” Practice Location

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