MEDICARE: DR. GALE SWAN 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	103TC0700X	Clinical Psychologist	6301001218	MI

General Provider Information

NPI Number	:	1760466437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GALE SWAN PH.D.

Provider Business Mailing Address
First Line	:	5119 WILLOW POND DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2083
Country	:	US
Telephone Number	:	248-681-0189
Fax Number	:

Provider Business Practice Location Address
First Line	:	5119 WILLOW POND DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2083
Country	:	US
Telephone Number	:	248-681-0189
Fax Number	:

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1992024905 — MS. SHIRLEY PAULINE PERRY TARGETED CASE MANAGE
Practice Location Address:

2083 CHAGALL CIR
WEST PALM BEACH, FL
33409-7525

Practice Phone: 561-282-2698
Practice Fax:

1811541956 — RHOENNA E. CAMPBELL-ROBINSON RN
Practice Location Address:

2083 FLORIDA MANGO RD
WEST PALM BEACH, FL
33406-7724

Practice Phone: 561-469-9479
Practice Fax: 844-270-5918

1427785849 — MRS. TRINITY SHARDA' JOHNSON FNP
Practice Location Address:

99 WINCHESTER DR UNIT K
WEST POINT, MS
39773-2083

Practice Phone: 662-524-3707
Practice Fax: 662-269-1698

1396567301 — DIVINITY HEALTHCARE INC
Practice Location Address:

99 WINCHESTER DR UNIT K
WEST POINT, MS
39773-2083

Practice Phone: 662-848-3656
Practice Fax:

1841580180 — MRS. JENNIFER ANN GEORGIA P.A.
Practice Location Address:

2300 HAGGERTY RD , STE 1110
WEST BLOOMFIELD, MI
48323

Practice Phone: 248-669-2000
Practice Fax: 248-669-2110

Directions to “ DR. GALE SWAN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.