Healthcare Provider Details

I. General information

NPI: 1881553436
Provider Name (Legal Business Name): TESSA OLIVIA SWIDER MA, ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 W MAIN ST
KUTZTOWN PA
19530-1608
US

IV. Provider business mailing address

474 W MAIN ST
KUTZTOWN PA
19530-1608
US

V. Phone/Fax

Practice location:
  • Phone: 610-928-1097
  • Fax:
Mailing address:
  • Phone: 610-928-1097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC021241
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number23-253
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: