MEDICARE: DR. CAROL JANE SCHWARTZ PHD

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	6301006806	MI

General Provider Information

NPI Number	:	1982752150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL JANE SCHWARTZ PHD

Provider Business Mailing Address
First Line	:	7457 FRANKLIN RD
Second Line	:	STE 210
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	40301
Country	:	US
Telephone Number	:	248-626-4622
Fax Number	:	248-626-2908

Provider Business Practice Location Address
First Line	:	7457 FRANKLIN RD
Second Line	:	STE 210
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3611
Country	:	US
Telephone Number	:	248-626-4622
Fax Number	:	248-626-2908

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

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	02/25/2016

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