Provider Demographics
NPI:1962725929
Name:SCHWARTZ, SUSAN BETH (PSYD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:BETH
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 1:35 WALBROOKE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2743
Mailing Address - Country:US
Mailing Address - Phone:914-527-1261
Mailing Address - Fax:
Practice Address - Street 1:188 E POST RD
Practice Address - Street 2:303
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4911
Practice Address - Country:US
Practice Address - Phone:914-527-1261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014810103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical