Healthcare Provider Details

I. General information

NPI: 1386707925
Provider Name (Legal Business Name): JOSEPH L J SCHWARTZ PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSEPH L J SCHWARTZ PSYD PC

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 WALKER RD
DOVER DE
19904-6600
US

IV. Provider business mailing address

156 S STATE ST
DOVER DE
19901-7314
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4699
  • Fax: 302-674-1299
Mailing address:
  • Phone: 302-674-2380
  • Fax: 302-674-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0118231
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY002992
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0000976
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: