Individual
STUART H SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2185 BROADWAY, DENVER, CO 80205-2534
(877) 838-4783
(888) 617-8611
Mailing address
2185 BROADWAY, DENVER, CO 80205-2534
(877) 838-4783
(888) 617-8611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040226A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369664
ANTHEM
IN
05
—
100201330B
—
IN
01
—
680015790
TRI-CARE
IN
Enumeration date
06/28/2006
Last updated
05/30/2008
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