Michael D. Swafford, Psy.d., P.c. | |
105 S Bryant Ave Suite 302 Edmond OK 73034-6399 | |
(405) 844-7793 | |
(405) 844-2027 |
Full Name | Michael D. Swafford, Psy.d., P.c. |
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Speciality | Counselor |
Location | 105 S Bryant Ave, Edmond, Oklahoma |
Authorized Official Name and Position | Michael D. Swafford (PRESIDENT) |
Authorized Official Contact | 4058447793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael D. Swafford, Psy.d., P.c. 105 S Bryant Ave Suite 302 Edmond OK 73034-6399 Ph: (405) 844-7793 | Michael D. Swafford, Psy.d., P.c. 105 S Bryant Ave Suite 302 Edmond OK 73034-6399 Ph: (405) 844-7793 |
NPI Number | 1033434626 |
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Provider Enumeration Date | 04/07/2010 |
Last Update Date | 04/07/2010 |
Medicare PECOS PAC ID | 8426497843 |
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Medicare Enrollment ID | O20240418001726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033434626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Michael D Swafford |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659317311 PECOS PAC ID: 9335588755 Enrollment ID: I20240418001850 |
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