Healthcare Provider Details

I. General information

NPI: 1942252218
Provider Name (Legal Business Name): DAVID PAUL SCHWARTZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 MAIN ST
HAMILTON OH
45013-1636
US

IV. Provider business mailing address

1199 MAIN ST PO BOX 13346
HAMILTON OH
45013-1636
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-2273
  • Fax: 513-863-6022
Mailing address:
  • Phone: 513-863-2273
  • Fax: 513-863-6022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4154
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: