Provider Demographics
NPI:1639230246
Name:SCHEER, NANCY SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SUE
Last Name:SCHEER
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 1:4251 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-1515
Mailing Address - Country:US
Mailing Address - Phone:248-549-0639
Mailing Address - Fax:
Practice Address - Street 1:25899 W 12 MILE RD
Practice Address - Street 2:STE 190
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8311
Practice Address - Country:US
Practice Address - Phone:248-809-6243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005716103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI680F334620OtherBLUE CROSS GROUP PIN
MI680F334610OtherBLUE CROSS PIN #