Provider Demographics
NPI:1568786648
Name:SCHWARZ, REGINA PAULA (PHD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:PAULA
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BRYANT AVE
Mailing Address - Street 2:SUITE BERKELEY TC
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1952
Mailing Address - Country:US
Mailing Address - Phone:914-633-6368
Mailing Address - Fax:914-632-1351
Practice Address - Street 1:90 BRYANT AVE
Practice Address - Street 2:SUITE BERKELEY TC
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1952
Practice Address - Country:US
Practice Address - Phone:914-633-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS 9421-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical