Provider Demographics
NPI:1265586374
Name:SCHWAB OWENS, AMY (MS, LCPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SCHWAB OWENS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:957 NATIONAL HWY STE A
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7357
Mailing Address - Country:US
Mailing Address - Phone:301-729-2235
Mailing Address - Fax:301-729-4773
Practice Address - Street 1:957 NATIONAL HWY STE A
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7357
Practice Address - Country:US
Practice Address - Phone:301-729-2235
Practice Address - Fax:301-729-4773
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional