Healthcare Provider Details

I. General information

NPI: 1386900058
Provider Name (Legal Business Name): BRETT A. SWORDS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2012
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 PAULINE DR UNIT 2038
YORK PA
17402-4637
US

IV. Provider business mailing address

211 PAULINE DR UNIT 2038
YORK PA
17402-4637
US

V. Phone/Fax

Practice location:
  • Phone: 240-200-5554
  • Fax:
Mailing address:
  • Phone: 240-200-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS018776
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: