Provider Demographics
NPI:1932255205
Name:SCHWARTZ, KAREN L (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:SCHWARTZ
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 1:1010 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1446
Mailing Address - Country:US
Mailing Address - Phone:610-527-1215
Mailing Address - Fax:610-527-1216
Practice Address - Street 1:987 OLD EAGLE SCHOOL RD
Practice Address - Street 2:SUITE 712
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1708
Practice Address - Country:US
Practice Address - Phone:610-687-6768
Practice Address - Fax:610-527-1216
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007392L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA644942Medicare ID - Type Unspecified