Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PS002907L | PA |
N | 103TC0700X | Clinical Psychologist | PS002907L | PA |
N | 103TH0100X | Health Service | PS002907L | PA |
NPI | 1588640932 |
---|---|
Provider Name | Dr. Edward B. Schwartz |
First Address | Huntingdon Valley, PA 19006-6110 |
Second Address | Huntingdon Valley, PA 19006-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 08/07/2007 |