Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | SW125160 | PA |
NPI | 1003168329 |
---|---|
Provider Name | Bethany Jane Schumacher |
First Address | Pittsburgh, PA 15216-3613 |
Second Address | Clinton, PA 15026-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2012 |
Last Update Date | 11/10/2012 |