| Swan City Psychology P.a. | |
|
1815 Crystal Lake Dr # 1409 Lakeland FL 33801-5979 | |
| (863) 640-9080 | |
| Not Available |
| Full Name | Swan City Psychology P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1815 Crystal Lake Dr # 1409, Lakeland, Florida |
| Authorized Official Name and Position | Kristin C Muller (OWNER) |
| Authorized Official Contact | 8636409080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan City Psychology P.a. 2840 Seymore St Lakeland FL 33813-3761 Ph: (863) 640-9080 | Swan City Psychology P.a. 1815 Crystal Lake Dr # 1409 Lakeland FL 33801-5979 Ph: (863) 640-9080 |
| NPI Number | 1518701853 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518701853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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