Healthcare Provider Details

I. General information

NPI: 1285105619
Provider Name (Legal Business Name): EDWARD B SCHWARTZ PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2338 HUNTINGDON PIKE
HUNTINGDON VALLEY PA
19006-6110
US

IV. Provider business mailing address

2338 HUNTINGDON PIKE
HUNTINGDON VALLEY PA
19006-6110
US

V. Phone/Fax

Practice location:
  • Phone: 215-947-2784
  • Fax: 215-947-5310
Mailing address:
  • Phone: 215-947-2784
  • Fax: 215-947-5310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD B. SCHWARTZ
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 215-947-2784