Healthcare Provider Details

I. General information

NPI: 1548533326
Provider Name (Legal Business Name): MARION BREWSTER SWANSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 W DUKE OF GLOUCESTER ST STE 205
WILLIAMSBURG VA
23185-3659
US

IV. Provider business mailing address

3001 S CHASE
WILLIAMSBURG VA
23185-8732
US

V. Phone/Fax

Practice location:
  • Phone: 757-506-4380
  • Fax: 888-490-2313
Mailing address:
  • Phone: 757-506-4380
  • Fax: 888-490-2313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0803000245
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: