Provider Demographics
NPI:1790902476
Name:KLEIN, MARSHA SCHWARTZ (LPC, CCMHC, CACD)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:SCHWARTZ
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LPC, CCMHC, CACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 CHERRY STREET
Mailing Address - Street 2:8A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1042
Mailing Address - Country:US
Mailing Address - Phone:215-530-3801
Mailing Address - Fax:
Practice Address - Street 1:1616 WALNUT ST
Practice Address - Street 2:SUITE 1816
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5313
Practice Address - Country:US
Practice Address - Phone:267-479-0423
Practice Address - Fax:267-479-0424
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALPC 000412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist