| Sfs Phd Pc | |
|
125 Bank St Ste 310 Missoula MT 59802-4413 | |
| (406) 549-7325 | |
| (406) 549-7559 |
| Full Name | Sfs Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 125 Bank St Ste 310, Missoula, Montana |
| Authorized Official Name and Position | Susan F Swierc (PRESIDENT) |
| Authorized Official Contact | 4062745508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sfs Phd Pc 601 W Kent Ave Missoula MT 59801-6720 Ph: (406) 240-4858 | Sfs Phd Pc 125 Bank St Ste 310 Missoula MT 59802-4413 Ph: (406) 549-7325 |
| NPI Number | 1538338629 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 3870667892 |
|---|---|
| Medicare Enrollment ID | O20080808000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538338629 | NPI | - | NPPES |
| Provider Name | Susan F Swierc |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982655676 PECOS PAC ID: 7517064934 Enrollment ID: I20070521000124 |
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