| Swanson Psychotherapeutic, Llc | |
|
311 S Central Ave Ste 104 Canonsburg PA 15317-1637 | |
| (412) 737-6236 | |
| Not Available |
| Full Name | Swanson Psychotherapeutic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 S Central Ave Ste 104, Canonsburg, Pennsylvania |
| Authorized Official Name and Position | Danielle Swanson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4127376236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swanson Psychotherapeutic, Llc 617 Setter Ln Jefferson Hills PA 15025-3284 Ph: (412) 737-6236 | Swanson Psychotherapeutic, Llc 311 S Central Ave Ste 104 Canonsburg PA 15317-1637 Ph: (412) 737-6236 |
| NPI Number | 1467097980 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 0446682157 |
|---|---|
| Medicare Enrollment ID | O20191119001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467097980 | NPI | - | NPPES |
| 4125 | Other | PA | UPMC HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle E Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376936179 PECOS PAC ID: 0143533505 Enrollment ID: I20150715000162 |
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