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NPI Code Detail

MEDICARE: SUSAN F SWIERC PHD

MEDICARE: SUSAN F SWIERC PHD
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
1103TC0700XClinical Psychologist342MT
2103TC2200XClinical Child & Adolescent Psychologist
3103TH0100XHealth Service Psychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
252691OTHERMTBCBS

General Provider Information

NPI Number : 1982655676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN F SWIERC PHD
Provider Business Mailing Address
First Line : PO BOX 278
Second Line :
City : MISSOULA
State : MT
Zip : 59806-0278
Country : US
Telephone Number : 406-274-5508
Fax Number : 406-258-0171
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 05/23/2025

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