Provider Demographics
NPI:1679798516
Name:SCHUMACHER, CARTER MEAD (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARTER
Middle Name:MEAD
Last Name:SCHUMACHER
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 1:237 N OLD WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-5305
Mailing Address - Country:US
Mailing Address - Phone:248-840-4725
Mailing Address - Fax:
Practice Address - Street 1:237 N OLD WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5305
Practice Address - Country:US
Practice Address - Phone:248-840-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007465103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F33098Medicare ID - Type UnspecifiedPROVIDER NUMBER