MEDICARE: DR. THOMAS K SWISHER

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	LCPC0190	MD

General Provider Information

NPI Number	:	1699025858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS K SWISHER

Provider Business Mailing Address
First Line	:	2875 BETHANY LANE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042
Country	:	US
Telephone Number	:	410-465-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	2875 BETHANY LANE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042
Country	:	US
Telephone Number	:	410-465-8985
Fax Number	:

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

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

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