=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720050677
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANICE F SWECKER PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2006
-----------------------------------------------------
Last Update Date | 08/01/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4125 MEDINA RD SUITE 220
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44333-2483
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-379-0362
-----------------------------------------------------
Fax | 330-665-8229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4125 MEDINA RD SUITE 220
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44333-2483
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-379-0362
-----------------------------------------------------
Fax | 330-665-8229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number | 4250
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------