Basic Information
| Provider Information | |||||||||
| NPI: | 1336488576 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHWOERI | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | |||||||||
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| OtherOrganizationType: | |||||||||
| OtherLastName: | SCHWOERI | ||||||||
| OtherFirstName: | LINDA | ||||||||
| OtherMiddleName: | J | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MFT/PH.D. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 109 E LAUREL RD | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | STRATFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080841324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565666034 | ||||||||
| FaxNumber: | 8565666208 | ||||||||
| Practice Location | |||||||||
| Address1: | 109 E LAUREL RD | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | STRATFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080841324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565666034 | ||||||||
| FaxNumber: | 8565666208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2013 | ||||||||
| LastUpdateDate: | 10/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | LMFT 37F100084300 | NJ | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.