Individual
SHARON PATRICIA SWANSON
Active
Individual
SHARON PATRICIA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148550001
—
TX
05
—
148550002
—
TX
01
—
217764226
DOMHA MCR
MO
01
—
5A572
DOMHA MCR
AR
05
—
OVN3513
—
VT
Enumeration date
08/02/2006
Last updated
04/25/2008
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