Provider Demographics
NPI:1144480047
Name:SCHUMAN, DONALD L (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:L
Last Name:SCHUMAN
Suffix:
Gender:M
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 FREEDOM DR
Mailing Address - Street 2:D-47
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-6839
Mailing Address - Country:US
Mailing Address - Phone:254-833-2727
Mailing Address - Fax:344-255-7617
Practice Address - Street 1:BUILDING 301 ANDREWS AVENUE
Practice Address - Street 2:ARMY SUBSTANCE ABUSE PROGRAM (ASAP)
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362
Practice Address - Country:US
Practice Address - Phone:334-255-7509
Practice Address - Fax:344-255-7617
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical