1871521344 NPI number — DR. CYNTHIA BETH SCHWARTZ-DEVOL PH.D.

Table of content: DR. CYNTHIA BETH SCHWARTZ-DEVOL PH.D. (NPI 1871521344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871521344 NPI number — DR. CYNTHIA BETH SCHWARTZ-DEVOL PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ-DEVOL
Provider First Name:
CYNTHIA
Provider Middle Name:
BETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
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:
1871521344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
547 SUSAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KING OF PRUSSIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19406-3912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-265-7876
Provider Business Mailing Address Fax Number:
866-231-2338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 STRAFFORD AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19087-3340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-825-6468
Provider Business Practice Location Address Fax Number:
866-231-2338
Provider Enumeration Date:
06/30/2006

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: 103T00000X , with the licence number:  PS015221 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: PS015221 , 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)

  • Identifier: 2114615000 . This is a "IBC PIN#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1429467 . This is a "HIGHMARK BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7165433 . This is a "PIN/PVN#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 493220000 . This is a "MAGELLAN MIS#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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