Provider Demographics
NPI:1487929857
Name:SCHWARTZ KENIGSBERG, DEBORAH M (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:M
Last Name:SCHWARTZ KENIGSBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:M
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:30200 AGOURA ROAD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5431
Mailing Address - Country:US
Mailing Address - Phone:818-981-7845
Mailing Address - Fax:818-459-3787
Practice Address - Street 1:30200 AGOURA ROAD
Practice Address - Street 2:SUITE 190
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-5431
Practice Address - Country:US
Practice Address - Phone:818-981-7845
Practice Address - Fax:818-459-3787
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-17
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPS2011014103TC0700X
CAPSY25406103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical