Provider Demographics
NPI:1568500148
Name:SCHWARTZ, CARY STEVEN (MA)
Entity Type:Individual
Prefix:MR
First Name:CARY
Middle Name:STEVEN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 ERRINGER RD
Mailing Address - Street 2:207
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3557
Mailing Address - Country:US
Mailing Address - Phone:805-578-2425
Mailing Address - Fax:805-578-8769
Practice Address - Street 1:1633 ERRINGER RD
Practice Address - Street 2:207
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3557
Practice Address - Country:US
Practice Address - Phone:805-578-2425
Practice Address - Fax:805-578-8769
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist