Provider Demographics
NPI:1164889606
Name:SCHWARTZ, CORRINNE (MC, LAC)
Entity Type:Individual
Prefix:
First Name:CORRINNE
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 E MCDOWELL RD STE 113
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3868
Mailing Address - Country:US
Mailing Address - Phone:480-735-9090
Mailing Address - Fax:480-584-4885
Practice Address - Street 1:8010 E MCDOWELL RD STE 113
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3868
Practice Address - Country:US
Practice Address - Phone:480-735-9090
Practice Address - Fax:480-584-4885
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health