Individual
MS. ANTONEAL NATOIS SWABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901
(321) 361-5559
(321) 722-6033
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5559
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY9139
FL
103TC0700X
Clinical Psychologist
PY9139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HY340X
FL MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
10/07/2009
Last updated
03/19/2020
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