MEDICARE: JESSICA SCHWARTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1053712810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SCHWARTZ

Provider Business Mailing Address
First Line	:	200 BEACON HILL DR
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-2404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 BEACON HILL DR
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-2404
Country	:	US
Telephone Number	:	914-584-7970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	09/11/2014

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Directions to “ JESSICA SCHWARTZ ” Practice Location

Language	Start Address	Practice Location

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