Provider Demographics
NPI:1104368927
Name:SCHWARTZ-LEVY, JODI (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:
Last Name:SCHWARTZ-LEVY
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W HIGHLAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3322
Mailing Address - Country:US
Mailing Address - Phone:215-370-7878
Mailing Address - Fax:
Practice Address - Street 1:15 W HIGHLAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3322
Practice Address - Country:US
Practice Address - Phone:215-370-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005938101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor