Individual
DAVID X SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
(715) 392-6055
Mailing address
1401 EAST FIRST STREET, DULUTH, MN 55805
(218) 728-4404
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
746
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286047300
—
MN
05
—
39048500
—
WI
Enumeration date
10/18/2006
Last updated
05/23/2012
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