Provider Demographics
NPI:1376631192
Name:SCHWARTZ, SHER E (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHER
Middle Name:E
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 VETERANS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-6284
Mailing Address - Country:US
Mailing Address - Phone:706-221-3222
Mailing Address - Fax:706-653-2223
Practice Address - Street 1:5700 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9093
Practice Address - Country:US
Practice Address - Phone:706-221-3222
Practice Address - Fax:706-223-1934
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSYCH001285103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000409417DMedicaid
GA68BBFXKMedicare ID - Type Unspecified