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NPI Code Detail

MEDICARE: DR. THOMAS PAUL SWALES PH.D.

MEDICARE: DR. THOMAS PAUL SWALES 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
1103G00000XClinical Neuropsychologist4734OH
2103G00000XClinical NeuropsychologistPY 4822FL
3103TC0700XClinical Psychologist4734OH
4103TC0700XClinical PsychologistPY 4822FL
5103TH0100XHealth Service PsychologistPY 4822FL
6103TH0100XHealth Service Psychologist4734OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922091768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS PAUL SWALES PH.D.
Provider Business Mailing Address
First Line : 22326 WESTCHESTER RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-2971
Country : US
Telephone Number : 216-751-1804
Fax Number : 216-778-8412
Provider Business Practice Location Address
First Line : 25101 CHAGRIN BOULEVARD
Second Line : SUITE 100
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 216-831-6611
Fax Number : 216-456-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 05/09/2014

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