Provider Demographics
NPI:1841212867
Name:SCHWARTZ, PAUL JAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JAN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 EAST 71ST STREET
Mailing Address - Street 2:SUITE 8140
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-493-7185
Mailing Address - Fax:918-491-9969
Practice Address - Street 1:5555 EAST 71ST STREET
Practice Address - Street 2:SUITE 8140
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-493-7185
Practice Address - Fax:918-491-9969
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK327103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist