Organization
SWANSON PSYCHOTHERAPEUTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SWANSON LCSW (PSYCHOTHERAPIST)
(412) 737-6236
Entity
Organization
Contact information
Practice address
311 S CENTRAL AVE STE 104, CANONSBURG, PA 15317-1637
(412) 737-6236
Mailing address
617 SETTER LN, JEFFERSON HILLS, PA 15025-3284
(412) 737-6236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4125
UPMC HIGHMARK
PA
Enumeration date
11/07/2019
Last updated
11/19/2019
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