Provider Demographics
NPI:1265557474
Name:SCHIOWITZ, NAN FUERTH (PHD)
Entity type:Individual
Prefix:DR
First Name:NAN
Middle Name:FUERTH
Last Name:SCHIOWITZ
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 1:725 S WARNOCK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1927
Mailing Address - Country:US
Mailing Address - Phone:215-439-1729
Mailing Address - Fax:
Practice Address - Street 1:2500 GRUBB RD
Practice Address - Street 2:SUITE 240
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4799
Practice Address - Country:US
Practice Address - Phone:302-475-1880
Practice Address - Fax:302-475-2964
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000263103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist