Healthcare Provider Details

I. General information

NPI: 1437272952
Provider Name (Legal Business Name): MONTGOMERY COUNTY GUIDANCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 06/16/2008
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:
Mailing address:
  • Phone: 215-947-2784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS002907L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS002907L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW002586L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS002709L
License Number StatePA

VIII. Authorized Official

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