1790902476 NPI number — MARSHA SCHWARTZ KLEIN LPC, CCMHC, CACD

Table of content: MARSHA SCHWARTZ KLEIN LPC, CCMHC, CACD (NPI 1790902476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790902476 NPI number — MARSHA SCHWARTZ KLEIN LPC, CCMHC, CACD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLEIN
Provider First Name:
MARSHA
Provider Middle Name:
SCHWARTZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC, CCMHC, CACD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790902476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2301 CHERRY STREET
Provider Second Line Business Mailing Address:
8A
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19103-1042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-530-3801
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1616 WALNUT ST
Provider Second Line Business Practice Location Address:
SUITE 1816
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19103-5313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-479-0423
Provider Business Practice Location Address Fax Number:
267-479-0424
Provider Enumeration Date:
04/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  LPC 000412 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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