Organization
JC CHARLIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA SUZANNE SCHWARZ M.ED (OWNER)
(412) 221-3211
Entity
Organization
Contact information
Practice address
650 WASHINGTON RD, SUITE 130, PITTSBURGH, PA 15228-2702
(412) 779-4131
Mailing address
650 WASHINGTON RD, SUITE 130, PITTSBURGH, PA 15228-2702
(412) 779-4131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-007378-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316944267
INDIVIDUAL NPI TYPE 1
PA
Enumeration date
03/27/2009
Last updated
03/27/2009
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