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NPI Code Detail

MEDICARE: DR. SIERRA L SWING PSYD

MEDICARE:  DR. SIERRA L SWING  PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPY60039110WA
2103TF0200XForensic PsychologistPY60039110WA
3103TH0100XHealth Service PsychologistPY60039110WA
4103TC0700XClinical PsychologistPY60039110WA

General Provider Information

NPI Number : 1063641041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIERRA L SWING PSYD
Provider Business Mailing Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-979-8787
Fax Number : 206-309-3373
Provider Business Practice Location Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-979-8787
Fax Number : 206-309-3373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2009
Last Update Date : 08/27/2020

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Directions to “ DR. SIERRA L SWING PSYD” Practice Location

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