Provider Demographics
NPI:1417981572
Name:SCHWARTZ, ANITA IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:IRENE
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 1:2149 GUERNSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3601
Mailing Address - Country:US
Mailing Address - Phone:215-657-1898
Mailing Address - Fax:215-885-4386
Practice Address - Street 1:907 EASTON RD STE 1A
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2051
Practice Address - Country:US
Practice Address - Phone:215-657-1898
Practice Address - Fax:215-885-4386
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004545L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAR06969Medicare UPIN