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General NPI Number Information
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NPI Number | 1982655676
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Entity Type | Individual
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Provider Name | SUSAN F SWIERC PHD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 901 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-3600
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Country | US
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Telephone | 406-274-5508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | MISSOULA
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State | MT
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Zip | 59806-0278
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Country | US
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Telephone | 406-274-5508
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Fax | 406-258-0171
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 342
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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