Provider Demographics
NPI:1316015167
Name:SCHWARZ, DANIEL ASHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ASHER
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 DENSTON DR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4036
Mailing Address - Country:US
Mailing Address - Phone:215-646-3695
Mailing Address - Fax:
Practice Address - Street 1:9712 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3137
Practice Address - Country:US
Practice Address - Phone:215-677-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005325-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RO7365Medicare UPIN
PASC547118Medicare ID - Type Unspecified