Healthcare Provider Details

I. General information

NPI: 1013360643
Provider Name (Legal Business Name): KARA SWEDLOW PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 COLLEGE AVE STE 5
OAKLAND CA
94618-1552
US

IV. Provider business mailing address

5480 COLLEGE AVE STE 5
OAKLAND CA
94618-1552
US

V. Phone/Fax

Practice location:
  • Phone: 415-937-1041
  • Fax:
Mailing address:
  • Phone: 415-937-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number52221
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number52221
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: