Individual
MS. SUSANNE M SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3545 LAKE AVE, SUITE #200, WILMETTE, IL 60091-1058
(847) 251-7350
(847) 853-2600
Mailing address
326 OXFORD RD, KENILWORTH, IL 60043-1167
(847) 251-5489
(847) 251-6666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-004871
IL
Other
Enumeration date
08/05/2006
Last updated
07/28/2011
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