Provider Demographics
NPI:1902083389
Name:SWARTZ, SHELDON (LMFT)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E CLINTON ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46528-3233
Mailing Address - Country:US
Mailing Address - Phone:574-533-2812
Mailing Address - Fax:574-533-2269
Practice Address - Street 1:109 E CLINTON ST
Practice Address - Street 2:SUITE 11
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46528-3233
Practice Address - Country:US
Practice Address - Phone:574-533-2812
Practice Address - Fax:574-533-2269
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001046A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist