Healthcare Provider Details

I. General information

NPI: 1588640932
Provider Name (Legal Business Name): EDWARD B. SCHWARTZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 09/11/2025
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 TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS002907L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberPS002907L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: