Provider Demographics
NPI:1477732105
Name:SCHWARZ, ROBERT ALAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 LANCASTER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1500
Mailing Address - Country:US
Mailing Address - Phone:610-642-0884
Mailing Address - Fax:
Practice Address - Street 1:349 LANCASTER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1500
Practice Address - Country:US
Practice Address - Phone:610-642-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004853L103TC0700X, 103TF0000X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth