Provider Demographics
NPI:1578161063
Name:SCHWARTZ, AMANDA ROBYN (PHD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ROBYN
Last Name:SCHWARTZ
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 1:11 APPLEBY DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1340
Mailing Address - Country:US
Mailing Address - Phone:914-552-5745
Mailing Address - Fax:
Practice Address - Street 1:11 APPLEBY DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1340
Practice Address - Country:US
Practice Address - Phone:914-552-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023135103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist