Provider Demographics
NPI:1073688586
Name:SCHWARTZ, LAUREN (PHD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30405 N 53RD ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2442
Mailing Address - Country:US
Mailing Address - Phone:206-295-0126
Mailing Address - Fax:
Practice Address - Street 1:30405 N 53RD ST
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2442
Practice Address - Country:US
Practice Address - Phone:928-482-5161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001777103TB0200X
AZPSY-005744103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral