MEDICARE: DR. JANICE F SWECKER PH.D.

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	103TC1900X	Counseling Psychologist	4250	OH

General Provider Information

NPI Number	:	1720050677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE F SWECKER PH.D.

Provider Business Mailing Address
First Line	:	4125 MEDINA RD
Second Line	:	SUITE 220
City	:	AKRON
State	:	OH
Zip	:	44333-2483
Country	:	US
Telephone Number	:	330-379-0362
Fax Number	:	330-665-8229

Provider Business Practice Location Address
First Line	:	4125 MEDINA RD
Second Line	:	SUITE 220
City	:	AKRON
State	:	OH
Zip	:	44333-2483
Country	:	US
Telephone Number	:	330-379-0362
Fax Number	:	330-665-8229

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

Provider Enumeration Date	:	02/05/2006
Last Update Date	:	08/01/2007

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