Healthcare Provider Details

I. General information

NPI: 1841104940
Provider Name (Legal Business Name): LAURA SWINYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BETHANY RD
HAZLET NJ
07730-1663
US

IV. Provider business mailing address

18 FREEMONT LN
HOLMDEL NJ
07733-1285
US

V. Phone/Fax

Practice location:
  • Phone: 732-275-5795
  • Fax:
Mailing address:
  • Phone: 732-275-5795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FA00068300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: