Provider Demographics
NPI:1720049083
Name:SCHWEHM, KIRSTEN WILLIAMS (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:WILLIAMS
Last Name:SCHWEHM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 QUAIL RUN STE H1
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-9063
Mailing Address - Country:US
Mailing Address - Phone:225-366-8098
Mailing Address - Fax:888-520-4215
Practice Address - Street 1:2223 QUAIL RUN STE H1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-366-8098
Practice Address - Fax:888-520-4215
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA896103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical