MEDICARE: CORRINNE SCHWARTZ MC, LAC

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	101YM0800X	Mental Health Counselor	15344	AZ

General Provider Information

NPI Number	:	1164889606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORRINNE SCHWARTZ MC, LAC

Provider Business Mailing Address
First Line	:	8010 E MCDOWELL RD STE 113
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3868
Country	:	US
Telephone Number	:	480-735-9090
Fax Number	:	480-584-4885

Provider Business Practice Location Address
First Line	:	8010 E MCDOWELL RD STE 113
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3868
Country	:	US
Telephone Number	:	480-735-9090
Fax Number	:	480-584-4885

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

Provider Enumeration Date	:	01/27/2016
Last Update Date	:	01/27/2016

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