Healthcare Provider Details

I. General information

NPI: 1851721096
Provider Name (Legal Business Name): JENNIFER T SCHWARTZ PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 112TH AVE SE STE 202
BELLEVUE WA
98004-6901
US

IV. Provider business mailing address

1400 112TH AVE SE STE 202
BELLEVUE WA
98004-6901
US

V. Phone/Fax

Practice location:
  • Phone: 206-257-3688
  • Fax: 206-257-3687
Mailing address:
  • Phone: 206-257-3688
  • Fax: 206-257-3687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY60537851
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: