Provider Demographics
NPI:1326057340
Name:SCHWARTZSMITH, DOUG FITCH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DOUG
Middle Name:FITCH
Last Name:SCHWARTZSMITH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 AWAKEA RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3448
Mailing Address - Country:US
Mailing Address - Phone:808-201-3684
Mailing Address - Fax:808-261-3979
Practice Address - Street 1:231 AWAKEA RD
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3448
Practice Address - Country:US
Practice Address - Phone:808-201-3684
Practice Address - Fax:808-261-3979
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY842103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist