Provider Demographics
NPI:1336828334
Name:SCHWEITZER, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26884 CALGARY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1418
Mailing Address - Country:US
Mailing Address - Phone:832-466-1614
Mailing Address - Fax:
Practice Address - Street 1:26884 CALGARY POINTE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1418
Practice Address - Country:US
Practice Address - Phone:832-466-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33830103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical