Healthcare Provider Details

I. General information

NPI: 1336188952
Provider Name (Legal Business Name): STEVEN SETH SCHWARTZBERG PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 BROADWAY
CAMBRIDGE MA
02139-1839
US

IV. Provider business mailing address

31 VARNUM ST
ARLINGTON MA
02474-8712
US

V. Phone/Fax

Practice location:
  • Phone: 617-491-2438
  • Fax:
Mailing address:
  • Phone: 781-608-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6456
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: