Healthcare Provider Details

I. General information

NPI: 1720050677
Provider Name (Legal Business Name): JANICE F SWECKER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2006
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 MEDINA RD SUITE 220
AKRON OH
44333-2483
US

IV. Provider business mailing address

4125 MEDINA RD SUITE 220
AKRON OH
44333-2483
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-0362
  • Fax: 330-665-8229
Mailing address:
  • Phone: 330-379-0362
  • Fax: 330-665-8229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4250
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: