Provider Demographics
NPI:1265441281
Name:DOUG SCHWARTZSMITH PSYD, LTD
Entity type:Organization
Organization Name:DOUG SCHWARTZSMITH PSYD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:FITCH
Authorized Official - Last Name:SCHWARTZSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-261-3684
Mailing Address - Street 1:231 AWAKEA RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3448
Mailing Address - Country:US
Mailing Address - Phone:808-261-3684
Mailing Address - Fax:808-261-3979
Practice Address - Street 1:231 AWAKEA RD
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3448
Practice Address - Country:US
Practice Address - Phone:808-261-3684
Practice Address - Fax:808-261-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY842103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty