Individual
JEREMY SCHWARZBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054
(800) 774-5516
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(800) 774-5516
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00594500
NJ
103TC0700X
Clinical Psychologist
PS017989
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS017989
PA
Other
Enumeration date
01/06/2016
Last updated
08/01/2018
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