Provider Demographics
NPI:1952754574
Name:SCHWARZ, CHERYL ANN
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:SCHWARZ
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 1:1207 E GRAND ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2319
Mailing Address - Country:US
Mailing Address - Phone:908-543-6868
Mailing Address - Fax:908-354-2359
Practice Address - Street 1:1207 E GRAND ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2319
Practice Address - Country:US
Practice Address - Phone:908-543-6868
Practice Address - Fax:908-354-2359
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00140100237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist