Swanson, Sara J

Swanson, Sara J is an individual health care provider with primary practice located at 9200 West Wisconsin Ave Froedtert & Med College Clin - West, Milwaukee WI 53226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Swanson, Sara J can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 West Wisconsin Ave Froedtert & Med College Clin - West Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1507 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1507 Wisconsin

Profile Details

NPI number 1841241528
LBN Legal business name Swanson, Sara J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841241528 NPPES
Wisconsin MEDICAID 39103600
Wisconsin Other 002000136E
Wisconsin MEDICAID 1841241528

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