Provider Demographics
NPI:1629495395
Name:SCHWARB, MOLLY B (MS, ATR)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:B
Last Name:SCHWARB
Suffix:
Gender:F
Credentials:MS, ATR
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:B
Other - Last Name:ROPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, AT
Mailing Address - Street 1:1635 W WHITCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1043
Mailing Address - Country:US
Mailing Address - Phone:863-414-1095
Mailing Address - Fax:
Practice Address - Street 1:1635 W WHITCOMB AVE
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1043
Practice Address - Country:US
Practice Address - Phone:863-414-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12-254221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist