Provider Demographics
NPI:1669492559
Name:SCHWARTZ, SUSAN MALKOFF (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MALKOFF
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 1:4088 ALPHA DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2996
Mailing Address - Country:US
Mailing Address - Phone:412-486-2948
Mailing Address - Fax:412-486-4676
Practice Address - Street 1:4088 ALPHA DR
Practice Address - Street 2:SUITE 204
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2996
Practice Address - Country:US
Practice Address - Phone:412-486-2948
Practice Address - Fax:412-486-4676
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008535L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical