Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 1041C0700X | Clinical Social Worker | LCSW-3541 | HI |
NPI | 1013298132 |
---|---|
Provider Name | Shelley K Schweitzer |
First Address | Pearl City, HI 96782-1143 |
Second Address | Pearl City, HI 96782-1143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2011 |
Last Update Date | 27/02/2013 |