Provider Demographics
NPI:1154530335
Name:SCHWARTZ, JENNIFER BLANCHE (ATR-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BLANCHE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:SCHWARTZ
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATR-BC
Mailing Address - Street 1:4534 E BERWALD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3926
Mailing Address - Country:US
Mailing Address - Phone:216-381-4120
Mailing Address - Fax:
Practice Address - Street 1:11717 EUCLID AVENE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-229-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist