Individual
DR. GREG SWAN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
103 RIDGE BROOK LN, BENTONVILLE, VA 22610-2372
(706) 284-7203
Mailing address
103 RIDGE BROOK LN, BENTONVILLE, VA 22610-2372
(706) 284-7203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008076
VA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY000604
GA
Other
Enumeration date
06/29/2006
Last updated
03/20/2023
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