Provider Demographics
NPI:1265477103
Name:SCHUMAIER, DANIEL RENO (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RENO
Last Name:SCHUMAIER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E WATAUGA AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-4628
Mailing Address - Country:US
Mailing Address - Phone:423-928-5771
Mailing Address - Fax:423-928-1424
Practice Address - Street 1:106 E WATAUGA AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4628
Practice Address - Country:US
Practice Address - Phone:423-928-5771
Practice Address - Fax:423-928-1424
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3192054Medicaid
TN3192054Medicaid