Provider Demographics
NPI:1336488576
Name:SCHWOERI, LINDA J
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:SCHWOERI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:SCHWOERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT/PHD
Mailing Address - Street 1:109 E LAUREL RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1324
Mailing Address - Country:US
Mailing Address - Phone:856-566-6034
Mailing Address - Fax:856-566-6208
Practice Address - Street 1:109 E LAUREL RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1324
Practice Address - Country:US
Practice Address - Phone:856-566-6034
Practice Address - Fax:856-566-6208
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJLMFT 37F100084300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist