Provider Demographics
NPI:1013181528
Name:JOSEPH L.J. SCHWARTZ PSY.D. P.C.
Entity Type:Organization
Organization Name:JOSEPH L.J. SCHWARTZ PSY.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:770-891-6099
Mailing Address - Street 1:4530 CALLAWAY CREST DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7340
Mailing Address - Country:US
Mailing Address - Phone:770-891-6099
Mailing Address - Fax:770-635-7004
Practice Address - Street 1:1001 WEATHERSTONE PKWY STE 430
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-4495
Practice Address - Country:US
Practice Address - Phone:770-592-0150
Practice Address - Fax:770-592-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002992103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty