MEDICARE: MR. RICHARD SWINDLING SR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1164810537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD SWINDLING SR.

Provider Business Mailing Address
First Line	:	5795 W FLAMINGO RD
Second Line	:	202
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2354
Country	:	US
Telephone Number	:	775-764-1635
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 E DESERT INN RD
Second Line	:	240
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2525
Country	:	US
Telephone Number	:	702-490-9009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2015
Last Update Date	:	01/07/2015

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