Doctor Name: | MR. ROBERT EUGENE SWOPE |
NPI Number: | 1174680433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC0000000575 |
Business Practice Address: | 4501 Hixson Pike Hixson, TN - 373435035 |
Business Phone Number: | 4238382593 |
Business Fax Number: | |
Mailing Address: | 5401 Woody Trl, OOLTEWAH |
State: | TN |
Postal Code: | 373638110 |
Phone Number: | 4238382583 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC0000000575 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |