Provider Demographics
NPI:1871521344
Name:SCHWARTZ-DEVOL, CYNTHIA BETH (PHD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BETH
Last Name:SCHWARTZ-DEVOL
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 1:547 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3912
Mailing Address - Country:US
Mailing Address - Phone:610-265-7876
Mailing Address - Fax:866-231-2338
Practice Address - Street 1:175 STRAFFORD AVE STE 1
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3340
Practice Address - Country:US
Practice Address - Phone:610-825-6468
Practice Address - Fax:866-231-2338
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015221103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2114615000OtherIBC PIN#
PA1429467OtherHIGHMARK BS
PA7165433OtherPIN/PVN#
PA493220000OtherMAGELLAN MIS#