Individual
DR. KELLI A SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
22934 BENBURY DR, KATY, TX 77450-1422
(183) 231-9947
Mailing address
22934 BENBURY DR, KATY, TX 77450-1422
(183) 231-9947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1548274939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103T00000X
PSYCHOLOGIST - 103T00000X CALIFORNIA
CA
01
—
886841896
NATIONAL ASSOCIATION OF SOCIAL WORKERS
TX
01
—
RM-50513
PROFESSIONAL LEVEL DRUG, ALCOHOL & ADDICTION COUNSELOR CERTIFICATION (DAACC)
—
Enumeration date
11/18/2021
Last updated
07/21/2022
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