Healthcare Provider Details

I. General information

NPI: 1437814712
Provider Name (Legal Business Name): JAIMIE SCHWEITZER, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 OSTROM AVE
ENCINO CA
91316-1404
US

IV. Provider business mailing address

5606 OSTROM AVE
ENCINO CA
91316-1404
US

V. Phone/Fax

Practice location:
  • Phone: 818-906-1103
  • Fax:
Mailing address:
  • Phone: 818-906-1103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAIMIE SCHWEITZER
Title or Position: PRINCIPAL
Credential: PH.D.
Phone: 818-906-1103