Jessica Renee Swanson, PhD
Psychologist in Charlotte, NC. Individual provider (NPI-1).
NPI number1407313596
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1407313596
- Entity type
- Individual (NPI-1)
- Name
- Jessica Renee Swanson
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
447 S Sharon Amity Rd Ste 250Charlotte, NC 28211-2850
Phone 704-507-0387 · Fax 980-498-6700
Mailing address
447 S Sharon Amity Rd Ste 250Charlotte, NC 28211-2850
Phone 704-507-0387 · Fax 980-498-6700
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