MEDICARE: LINDA SCHWARTZ LPC

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	101YP2500X	Professional Counselor	LPC-10080	AZ

General Provider Information

NPI Number	:	1285821769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SCHWARTZ LPC

Provider Business Mailing Address
First Line	:	1235 E BLUEFIELD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-1238
Country	:	US
Telephone Number	:	602-493-0585
Fax Number	:

Provider Business Practice Location Address
First Line	:	42104 N VENTURE DR
Second Line	:	D 106
City	:	ANTHEM
State	:	AZ
Zip	:	85086-3823
Country	:	US
Telephone Number	:	602-493-0585
Fax Number	:

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

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	12/08/2009

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