Provider Demographics
NPI:1366688996
Name:SCHWARTZ, PATRICIA LAURIE (MA/SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LAURIE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MA/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 JULES LN
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1415
Mailing Address - Country:US
Mailing Address - Phone:516-796-5656
Mailing Address - Fax:
Practice Address - Street 1:3740 JULES LN
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-1415
Practice Address - Country:US
Practice Address - Phone:516-398-6131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-03
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008008235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist