MEDICARE: DR. HARVEY LANCE SCHWARTZ PH.D.

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	103TC0700X	Clinical Psychologist	PSY8902	CA

General Provider Information

NPI Number	:	1437279445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY LANCE SCHWARTZ PH.D.

Provider Business Mailing Address
First Line	:	4161 20TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2824
Country	:	US
Telephone Number	:	415-648-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	257 CONNECTICUT ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2402
Country	:	US
Telephone Number	:	415-263-3981
Fax Number	:

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

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/08/2007

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