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NPI Code Detail

MEDICARE: SFS PHD INC

MEDICARE: SFS PHD INC
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
1103TB0200XCognitive & Behavioral Psychologist
2103TC2200XClinical Child & Adolescent Psychologist
3103TF0000XFamily Psychologist
4103TH0004XHealth Psychologist
5103TH0100XHealth Service Psychologist
6103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1538338629
Entity Type Code : Organization
Provider Name (Legal Business Name) : SFS PHD INC
Provider Business Mailing Address
First Line : 601 W KENT AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59801-6720
Country : US
Telephone Number : 406-240-4858
Fax Number : 406-549-7559
Provider Business Practice Location Address
First Line : 901 SW HIGGINS AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59803-3600
Country : US
Telephone Number : 406-274-5508
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SUSAN F SWIERC
Credential : PHD
Telephone Number : 406-274-5508
Provider Enumeration Date : 02/22/2008
Last Update Date : 05/23/2025

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