Provider Demographics
NPI:1982752150
Name:SCHWARTZ, CAROL JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:JANE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7457 FRANKLIN RD
Mailing Address - Street 2:STE 210
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:40301
Mailing Address - Country:US
Mailing Address - Phone:248-626-4622
Mailing Address - Fax:248-626-2908
Practice Address - Street 1:7457 FRANKLIN RD
Practice Address - Street 2:STE 210
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3611
Practice Address - Country:US
Practice Address - Phone:248-626-4622
Practice Address - Fax:248-626-2908
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6301006806103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF37073007Medicare ID - Type Unspecified