NPI | 1467700252 |
---|---|
Former Name | MAEGAN D SWARTWOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004583) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1000817) |
103G00000X Clinical Neuropsychologist (Licence: MD 05222) | |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-09-06 |