Individual
DR. KEVIN MAKAY SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3120 25TH ST S STE Z, #340, FARGO, ND 58103-6164
(701) 365-4488
(701) 365-0727
Mailing address
3137 32ND AVE S, SUITE 223, FARGO, ND 58103-6159
(701) 365-4488
(701) 365-0727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
111
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16951
—
ND
01
—
909550100
MEDICAID
MN
Enumeration date
09/07/2006
Last updated
03/09/2012
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