Healthcare Provider Details

I. General information

NPI: 1760394704
Provider Name (Legal Business Name): STEPHEN ALAN SCHWARTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 HIGH RIDGE RD
STAMFORD CT
06905-1223
US

IV. Provider business mailing address

36 FARA DR
STAMFORD CT
06905-3215
US

V. Phone/Fax

Practice location:
  • Phone: 203-202-7654
  • Fax: 203-202-7654
Mailing address:
  • Phone: 585-329-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3537
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: