Provider Demographics
NPI:1679204820
Name:SCHUMACHER, LYNN
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W LOMBARD ST # 1001
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21223-3134
Mailing Address - Country:US
Mailing Address - Phone:443-695-2838
Mailing Address - Fax:
Practice Address - Street 1:1400 W LOMBARD ST # 1001
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-3134
Practice Address - Country:US
Practice Address - Phone:443-695-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician