Provider Demographics
NPI:1538619416
Name:SCHWARTZ, MORGAN (PSYD LP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PSYD LP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:CUSACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYDLP
Mailing Address - Street 1:6600 FRANCE AVE S STE 230
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-1810
Mailing Address - Country:US
Mailing Address - Phone:952-460-9018
Mailing Address - Fax:952-835-9889
Practice Address - Street 1:6600 FRANCE AVE S STE 230
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1810
Practice Address - Country:US
Practice Address - Phone:952-460-9018
Practice Address - Fax:952-835-9889
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6037103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist