Provider Demographics
NPI:1841338365
Name:SCHAVER, HAVA (PHD)
Entity type:Individual
Prefix:DR
First Name:HAVA
Middle Name:
Last Name:SCHAVER
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 1:26111 W 14 MILE RD
Mailing Address - Street 2:STE 200C
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1171
Mailing Address - Country:US
Mailing Address - Phone:248-790-4282
Mailing Address - Fax:
Practice Address - Street 1:26111 W 14 MILE RD
Practice Address - Street 2:STE 200C
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1171
Practice Address - Country:US
Practice Address - Phone:248-737-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007991103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301007991OtherLICENSE
MI68OF33120OtherBLUE CROSS PIN
38-2491629OtherTAX ID
MI68OF33120OtherBLUE CROSS PIN