| Doctor Name: | DR. JOSEPH ELLSWORTH SWITRAS |
| NPI Number: | 1033117650 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH. D. LICENSED PSYC |
| License Number: | LP2765 |
| Business Practice Address: | 208 W 2nd St Suite 116 Fairmont, MN - 560311843 |
| Business Phone Number: | 5072355651 |
| Business Fax Number: | 5072355651 |
| Mailing Address: | 208 W 2nd St, Suite 116 FAIRMONT |
| State: | MN |
| Postal Code: | 560311843 |
| Phone Number: | 5072355651 |
| Fax Number: | 5072355651 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP2765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |