Provider Demographics
NPI:1801413166
Name:SCHWARZ, SARAH LYNN (PHD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:SCHWARZ
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 1:11775 WADSWORTH BLVD APT 4205
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2760
Mailing Address - Country:US
Mailing Address - Phone:802-999-8512
Mailing Address - Fax:
Practice Address - Street 1:11775 WADSWORTH BLVD APT 4205
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2760
Practice Address - Country:US
Practice Address - Phone:802-999-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004882103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical