Organization Name: | PEAK MENTAL HEALTH SERVICES, PLLC |
NPI Number: | 1003979428 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P SWING (PHYSICIAN) |
Mailing Address: | 4107-a Plank Road Fredericksburg |
State: | VA US |
Postal Code: | 224070113 |
Phone Number: | 5409074282 |
Fax Number: | 5408545800 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |