Provider Demographics
NPI:1518005529
Name:SCHWARZ, PATRICIA POILLON (MSCCCSLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:POILLON
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4402
Mailing Address - Country:US
Mailing Address - Phone:516-770-0106
Mailing Address - Fax:
Practice Address - Street 1:52 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4402
Practice Address - Country:US
Practice Address - Phone:516-770-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist