MEDICARE: MS. DANA JOAN SCHWARTZ MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC 15750	CA

General Provider Information

NPI Number	:	1073648291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA JOAN SCHWARTZ MFT

Provider Business Mailing Address
First Line	:	1000 CLARENDON CRESCENT
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-1806
Country	:	US
Telephone Number	:	510-663-8783
Fax Number	:	510-663-8696

Provider Business Practice Location Address
First Line	:	1000 CLARENDON CRESCENT
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-1806
Country	:	US
Telephone Number	:	510-663-8783
Fax Number	:	510-663-8696

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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