Provider Demographics
NPI:1326190067
Name:SCHWARTZBAUM, RENA C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RENA
Middle Name:C
Last Name:SCHWARTZBAUM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BLACK BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7451
Mailing Address - Country:US
Mailing Address - Phone:914-725-6620
Mailing Address - Fax:
Practice Address - Street 1:50 BLACK BIRCH LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7451
Practice Address - Country:US
Practice Address - Phone:914-725-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010253-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist