Individual
DR. MAXANN SHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5005 PROSPECT AVE. N.E., SUITE C, ALBUQUERQUE, NM 87110
(505) 331-7224
Mailing address
13205 MORNING MIST AVE. N.E., ALBUQUERQUE, NM 87111
(505) 797-8915
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0922
NM
103TC0700X
Clinical Psychologist
15845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86101544
—
NM
Enumeration date
10/04/2006
Last updated
07/09/2007
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