Provider Demographics
NPI:1134515893
Name:SCHWARTZ, MARCI LYNN BARR (SCM)
Entity Type:Individual
Prefix:MS
First Name:MARCI
Middle Name:LYNN BARR
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:MC 38-59
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-714-6431
Mailing Address - Fax:570-714-6601
Practice Address - Street 1:190 WELLES ST
Practice Address - Street 2:SUITE 128
Practice Address - City:EDWARDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-4968
Practice Address - Country:US
Practice Address - Phone:570-714-6431
Practice Address - Fax:570-714-6601
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00042600170300000X
PAGC000266170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS