Healthcare Provider Details

I. General information

NPI: 1902967136
Provider Name (Legal Business Name): JUDY H. SHVARTZ MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 MAIN ST STE D
BUDA TX
78610-5044
US

IV. Provider business mailing address

1645 MAIN ST STE D
BUDA TX
78610-5044
US

V. Phone/Fax

Practice location:
  • Phone: 818-921-6515
  • Fax: 818-532-2811
Mailing address:
  • Phone: 818-921-6515
  • Fax: 818-532-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number205590
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC31671
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: