Provider Demographics
NPI:1669477436
Name:SCHWARTZ, MARSHA S (PHD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:S
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 OLD CHAIN BRIDGE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3945
Mailing Address - Country:US
Mailing Address - Phone:703-866-8819
Mailing Address - Fax:855-750-3325
Practice Address - Street 1:133 ROLLINS AVE STE 2
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4040
Practice Address - Country:US
Practice Address - Phone:301-468-7670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00540237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD355659OtherALLIANCE NETWORK
MDL105MSOtherCAREFIRST AUDIOLOGY
MD355659OtherMAMSI
MD5789190OtherAETNA PPO
MD355659OtherMAMSI HMO
MDL131AUOtherCAREFIRST HEARING AIDS
MD545085OtherAETNA HMO
MD355659OtherALLIANCE NETWORK