Basic Information
| Provider Information | |||||||||
| NPI: | 1134515893 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | MARCI | ||||||||
| MiddleName: | LYNN BARR | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | SC.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 N ACADEMY AVE | ||||||||
| Address2: | MC 38-59 | ||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178229800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5707146431 | ||||||||
| FaxNumber: | 5707146601 | ||||||||
| Practice Location | |||||||||
| Address1: | 190 WELLES ST | ||||||||
| Address2: | SUITE 128 | ||||||||
| City: | EDWARDSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187044968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5707146431 | ||||||||
| FaxNumber: | 5707146601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2015 | ||||||||
| LastUpdateDate: | 01/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170300000X | 25MJ00042600 | NJ | N | Other Service Providers | Genetic Counselor, MS | 170300000X | GC000266 | PA | Y | Other Service Providers | Genetic Counselor, MS |
No ID Information.