Susan E Swann Ph.d. Pc | |
305 E Cherry Ave Suite 200 Flagstaff AZ 86001-4626 | |
(928) 214-0922 | |
(928) 214-0915 |
Full Name | Susan E Swann Ph.d. Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 305 E Cherry Ave, Flagstaff, Arizona |
Authorized Official Name and Position | Susan Elizabeth Swann (PRESIDENT) |
Authorized Official Contact | 9282140922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan E Swann Ph.d. Pc 305 E Cherry Ave Suite 200 Flagstaff AZ 86001-4626 Ph: (928) 214-0922 | Susan E Swann Ph.d. Pc 305 E Cherry Ave Suite 200 Flagstaff AZ 86001-4626 Ph: (928) 214-0922 |
NPI Number | 1891970703 |
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Provider Enumeration Date | 01/09/2008 |
Last Update Date | 02/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891970703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1520 (Arizona) | Primary |
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