Provider Demographics
NPI:1649500315
Name:DAVID J SCHWARTZ PHD LP LLC
Entity type:Organization
Organization Name:DAVID J SCHWARTZ PHD LP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LP
Authorized Official - Phone:248-890-4939
Mailing Address - Street 1:300 E MAPLE RD STE 311
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6311
Mailing Address - Country:US
Mailing Address - Phone:248-890-4939
Mailing Address - Fax:
Practice Address - Street 1:300 E MAPLE RD STE 311
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6311
Practice Address - Country:US
Practice Address - Phone:248-890-4939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-02
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013526103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty