Individual
DR. RICHARD PATRICK SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1147 E 25TH ST, IDAHO FALLS, ID 83404-7007
(208) 525-8615
(208) 525-8615
Mailing address
1147 E 25TH ST, IDAHO FALLS, ID 83404-7007
(208) 525-8615
(208) 525-8615
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
214
ID
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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