Provider Demographics
NPI:1902494917
Name:PARKWAY BEHAVIORAL
Entity Type:Organization
Organization Name:PARKWAY BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-529-8250
Mailing Address - Street 1:455 EAGLES ROOST RD
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-7824
Mailing Address - Country:US
Mailing Address - Phone:205-529-8250
Mailing Address - Fax:
Practice Address - Street 1:455 EAGLES ROOST RD
Practice Address - Street 2:
Practice Address - City:ODENVILLE
Practice Address - State:AL
Practice Address - Zip Code:35120-7824
Practice Address - Country:US
Practice Address - Phone:205-529-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty