Provider Demographics
NPI:1518263367
Name:SCHWIRZER, JENNIFER JILL (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JILL
Last Name:SCHWIRZER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 CROMWELL RD
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7421
Mailing Address - Country:US
Mailing Address - Phone:215-233-1286
Mailing Address - Fax:
Practice Address - Street 1:1103 CROMWELL RD
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-7421
Practice Address - Country:US
Practice Address - Phone:215-233-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA005578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional