Provider Demographics
NPI:1528303427
Name:SCHWARTZ, MARGOT LYNN (PSYD)
Entity type:Individual
Prefix:
First Name:MARGOT
Middle Name:LYNN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 POMPTON AVE
Mailing Address - Street 2:POST OFFICE BOX 386
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-7000
Mailing Address - Country:US
Mailing Address - Phone:201-704-6033
Mailing Address - Fax:973-364-0156
Practice Address - Street 1:1111 CLIFTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3633
Practice Address - Country:US
Practice Address - Phone:201-704-6033
Practice Address - Fax:973-364-0156
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00372400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist