Provider Demographics
NPI:1972521292
Name:SCHWARTZ, LORI B (PHD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:B
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MAIN ST
Mailing Address - Street 2:STE. 401
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2646
Mailing Address - Country:US
Mailing Address - Phone:816-753-7071
Mailing Address - Fax:816-753-8189
Practice Address - Street 1:4901 MAIN ST
Practice Address - Street 2:STE. 401
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2646
Practice Address - Country:US
Practice Address - Phone:816-753-7071
Practice Address - Fax:816-753-8189
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01564103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
100830OtherMHN
KS400987OtherBC/BS KS
12186OtherCIGNA
MO19138018OtherBC/BS KC
075276OtherVALUE OPTIONS
075276OtherVALUE OPTIONS
12186OtherCIGNA