Individual
DR. GREG G SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
929 KANSAS CITY ST, SUITE 201, RAPID CITY, SD 57701-4105
(605) 341-5436
(605) 721-5436
Mailing address
929 KANSAS CITY ST, SUITE 201, RAPID CITY, SD 57701-4105
(605) 341-5436
(605) 721-5436
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
223
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6550052
—
SD
Enumeration date
01/17/2007
Last updated
07/08/2007
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