MEDICARE: DR. JENNIFER T SCHWARTZ PSY.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	103T00000X	Psychologist	PY60537851	WA

General Provider Information

NPI Number	:	1851721096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER T SCHWARTZ PSY.D

Provider Business Mailing Address
First Line	:	3417 EVANSTON AVE N
Second Line	:	SUITE 204
City	:	SEATTLE
State	:	WA
Zip	:	98103-8626
Country	:	US
Telephone Number	:	253-987-6723
Fax Number	:	206-946-8148

Provider Business Practice Location Address
First Line	:	3417 EVANSTON AVE N
Second Line	:	SUITE 204
City	:	SEATTLE
State	:	WA
Zip	:	98103-8626
Country	:	US
Telephone Number	:	253-987-6723
Fax Number	:	206-946-8148

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

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	03/16/2017

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