Individual
CHARLES SWENCIONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
185 W END AVE APT 1D, NEW YORK, NY 10023-5540
(212) 496-9800
Mailing address
185 W END AVE APT 1D, NEW YORK, NY 10023-5540
(212) 496-9800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007446-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
007446-1
NY
103TH0004X
Health Psychologist
007446-1
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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