Doctor Name: | MRS. SUZANNE CAROL SWANSON |
NPI Number: | 1467529537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC MS LCDS |
License Number: | 00037 |
Business Practice Address: | 225 Newman Ave Rumford, RI - 029161218 |
Business Phone Number: | 4014319800 |
Business Fax Number: | 4014319801 |
Mailing Address: | 225 Newman Ave, RUMFORD |
State: | RI |
Postal Code: | 029161218 |
Phone Number: | 4014319800 |
Fax Number: | 4014319801 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |