Organization
SUSAN E SWANN PH.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELIZABETH SWANN PH.D (PRESIDENT)
(928) 214-0922
Entity
Organization
Contact information
Practice address
305 E CHERRY AVE, SUITE 200, FLAGSTAFF, AZ 86001-4626
(928) 214-0922
(928) 214-0915
Mailing address
305 E CHERRY AVE, SUITE 200, FLAGSTAFF, AZ 86001-4626
(928) 214-0922
(928) 214-0915
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1520
AZ
Other
Enumeration date
01/09/2008
Last updated
02/16/2015
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