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Individual

THOMAS SWANBON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., M.P.

Contact information

Practice address
1799 MONTGOMERY ST, MANDEVILLE, LA 70448-5345
(985) 674-7758
Mailing address
1799 MONTGOMERY ST, MANDEVILLE, LA 70448-5345
(985) 674-7758
(985) 674-7758

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1022
LA
103TC0700X
Clinical Psychologist
952
NH
103TP0016X
Prescribing (Medical) Psychologist
1022MP
LA

Other

Enumeration date
06/12/2006
Last updated
11/04/2015
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