Provider Demographics
NPI:1821283979
Name:SCHWARTZ, CARLY AMOR (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:AMOR
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16800 DEVONSHIRE ST
Mailing Address - Street 2:STE 212
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7409
Mailing Address - Country:US
Mailing Address - Phone:818-585-2000
Mailing Address - Fax:
Practice Address - Street 1:16800 DEVONSHIRE ST
Practice Address - Street 2:STE 212
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7409
Practice Address - Country:US
Practice Address - Phone:818-585-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24683103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical