Provider Demographics
NPI:1184716656
Name:SCHWARTZ, FAITH WITKIN (PHD)
Entity type:Individual
Prefix:DR
First Name:FAITH
Middle Name:WITKIN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:FAITH
Other - Middle Name:SHELLIE
Other - Last Name:WITKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7825 TUCKERMAN LN
Mailing Address - Street 2:SUITE 209
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3241
Mailing Address - Country:US
Mailing Address - Phone:240-731-7005
Mailing Address - Fax:301-983-2088
Practice Address - Street 1:7825 TUCKERMAN LN
Practice Address - Street 2:SUITE 209
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3241
Practice Address - Country:US
Practice Address - Phone:240-731-7005
Practice Address - Fax:301-983-2088
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1260103T00000X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical