| Greg Swenson, Phd, Inc. | |
|
929 Kansas City St Suite 201 Rapid City SD 57701-4105 | |
| (605) 341-5436 | |
| (605) 721-5436 |
| Full Name | Greg Swenson, Phd, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 929 Kansas City St, Rapid City, South Dakota |
| Authorized Official Name and Position | Greg Gale Swenson (PSYCHOLOGIST) |
| Authorized Official Contact | 6053415436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Swenson, Phd, Inc. 929 Kansas City St Suite 201 Rapid City SD 57701-4105 Ph: (605) 341-5436 | Greg Swenson, Phd, Inc. 929 Kansas City St Suite 201 Rapid City SD 57701-4105 Ph: (605) 341-5436 |
| NPI Number | 1306994967 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456345701 |
|---|---|
| Medicare Enrollment ID | O20040412000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306994967 | NPI | - | NPPES |
| 6550052 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 223 (South Dakota) | Primary |
| Provider Name | Greg G Swenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356493555 PECOS PAC ID: 4981698230 Enrollment ID: I20040417000387 |
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