Provider Demographics
NPI:1144624131
Name:SCHWARTZ MORAVEC, NORMA MARGARET (PHD)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:MARGARET
Last Name:SCHWARTZ MORAVEC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 SW HK DODGEN LOOP STE183 #1065
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-0001
Mailing Address - Country:US
Mailing Address - Phone:254-421-6249
Mailing Address - Fax:
Practice Address - Street 1:2112 SW H K DODGEN LOOP
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7004
Practice Address - Country:US
Practice Address - Phone:254-421-6249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2257103TC0700X, 103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling