| Ericka Swanson Psyd Inc. | |
|
9305 Calumet Ave Ste A2 Munster IN 46321-2888 | |
| (219) 805-0451 | |
| Not Available |
| Full Name | Ericka Swanson Psyd Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9305 Calumet Ave Ste A2, Munster, Indiana |
| Authorized Official Name and Position | Christopher Hoover (OFFICE MANAGER) |
| Authorized Official Contact | 2196886158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ericka Swanson Psyd Inc. 14917 98th Ave Dyer IN 46311-2944 Ph: (219) 688-6158 | Ericka Swanson Psyd Inc. 9305 Calumet Ave Ste A2 Munster IN 46321-2888 Ph: (219) 805-0451 |
| NPI Number | 1881222016 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Medicare PECOS PAC ID | 5496161150 |
|---|---|
| Medicare Enrollment ID | O20210304002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881222016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ericka Joy Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285944900 PECOS PAC ID: 7113109679 Enrollment ID: I20210304002234 |
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