Provider Demographics
NPI:1114078466
Name:ACEY, ALICIA SCHNEIDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:SCHNEIDER
Last Name:ACEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26111 W 14 MILE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1171
Mailing Address - Country:US
Mailing Address - Phone:248-346-3496
Mailing Address - Fax:248-647-3574
Practice Address - Street 1:26111 W 14 MILE RD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1171
Practice Address - Country:US
Practice Address - Phone:248-346-3496
Practice Address - Fax:248-647-3574
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009729103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11270242Medicare UPIN