Provider Demographics
NPI:1235287343
Name:SCHWARTZ, HEIDI (PSYD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PSYD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7353 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-2202
Mailing Address - Country:US
Mailing Address - Phone:708-969-1173
Mailing Address - Fax:708-445-9730
Practice Address - Street 1:7353 LAKE ST
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-2202
Practice Address - Country:US
Practice Address - Phone:708-969-1173
Practice Address - Fax:708-445-9730
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health