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Contact Information

SWAN PSYCHOLOGICAL SERVICES, INC.
8333 E. FOOTHILL BLVD., SUITE 109
RANCHO CUCAMONGA, CA91730
 Phone: 909-510-7643
 Fax: 909-463-9004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SWAN PSYCHOLOGICAL SERVICES, INC.

NPI # 1336792100
LBN Legal business name SWAN PSYCHOLOGICAL SERVICES, INC.
Authorized official JUNE SWAN - (LIC. PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2019
Last updated 07/22/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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