MEDICARE: ADRIENNE SWARTZ MED

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1093095309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE SWARTZ MED

Provider Business Mailing Address
First Line	:	3759 BUSINESS RT 220 NORTH
Second Line	:	SUITE 101
City	:	BEDFORD
State	:	PA
Zip	:	15522-8310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3759 BUSINESS RT 220 NORTH
Second Line	:	SUITE 101
City	:	BEDFORD
State	:	PA
Zip	:	15522-8310
Country	:	US
Telephone Number	:	814-623-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2011
Last Update Date	:	08/18/2011

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