Provider Demographics
NPI:1699799445
Name:SCHWARTZ, WARREN E (PSYD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:E
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NORTHEASTERN BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3139
Mailing Address - Country:US
Mailing Address - Phone:603-880-0374
Mailing Address - Fax:
Practice Address - Street 1:11 NORTHEASTERN BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3139
Practice Address - Country:US
Practice Address - Phone:603-880-0374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1049103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHQ25993Medicare UPIN
NHRE7951Medicare ID - Type Unspecified