Healthcare Provider Details

I. General information

NPI: 1699420190
Provider Name (Legal Business Name): PAIGE KITTREDGE SWIFT MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 BALSA AVE
YUCCA VALLEY CA
92284-0918
US

IV. Provider business mailing address

1580 BALSA AVE
YUCCA VALLEY CA
92284-0918
US

V. Phone/Fax

Practice location:
  • Phone: 213-446-2540
  • Fax:
Mailing address:
  • Phone: 213-446-2540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: