| Doctor Name: | DR. LESLIE BETH SWANSON |
| NPI Number: | 1013122530 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY6313 |
| Business Practice Address: | 11983 Tamiami Trl N Suite #132 Naples, FL - 341101603 |
| Business Phone Number: | 2396496010 |
| Business Fax Number: | 2395981417 |
| Mailing Address: | 11983 Tamiami Trl N, Suite #132 NAPLES |
| State: | FL |
| Postal Code: | 341101603 |
| Phone Number: | 2396496010 |
| Fax Number: | 2395981417 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PY6313 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |