Healthcare Provider Details

I. General information

NPI: 1942428909
Provider Name (Legal Business Name): TRACEY ALAN SCHWEIZER LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: T. ALAN SCHWEIZER LMFT

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 SOUTH DELACEY AVE SUITE 110
PASADENA CA
91105-2074
US

IV. Provider business mailing address

20216 ROSCOE BLVD UNIT 6
WINNETKA CA
91306-1686
US

V. Phone/Fax

Practice location:
  • Phone: 626-395-7100
  • Fax:
Mailing address:
  • Phone: 818-359-2895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC45336
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: