Healthcare Provider Details

I. General information

NPI: 1164889358
Provider Name (Legal Business Name): BRIANNA SWARTZ PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 PETERS RD STE E100
PLANTATION FL
33324-4019
US

IV. Provider business mailing address

7820 PETERS RD STE E100
PLANTATION FL
33324-4019
US

V. Phone/Fax

Practice location:
  • Phone: 954-577-0095
  • Fax: 954-423-0901
Mailing address:
  • Phone: 954-577-0095
  • Fax: 954-423-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY13068
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: