Provider Demographics
NPI:1508307422
Name:SCHWASS, GRAHAM (MS)
Entity Type:Individual
Prefix:
First Name:GRAHAM
Middle Name:
Last Name:SCHWASS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 16TH AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2663
Mailing Address - Country:US
Mailing Address - Phone:978-302-5661
Mailing Address - Fax:
Practice Address - Street 1:599 CANAL ST
Practice Address - Street 2:SUITE 1 EAST
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1244
Practice Address - Country:US
Practice Address - Phone:978-686-8202
Practice Address - Fax:978-686-1281
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor