Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1295006443 |
---|---|
Provider Name | Ms. Patricia Jayne Schwartz |
First Address | Okeene, OK 73763-9139 |
Second Address | Okeene, OK 73763-9139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2012 |
Last Update Date | 19/01/2012 |