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NPI Code Detail

MEDICARE: DR. WARD KENT SWALLOW PH.D.

MEDICARE: DR. WARD KENT SWALLOW PH.D.
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
1103TC0700XClinical PsychologistPSY0356NV

General Provider Information

NPI Number : 1871626564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WARD KENT SWALLOW PH.D.
Provider Business Mailing Address
First Line : 748 DESCARTES AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89015-6502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2775 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5632
Country : US
Telephone Number : 702-380-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 05/21/2025

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Directions to “ DR. WARD KENT SWALLOW PH.D.” Practice Location

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