NPI 1053723098

Jessica Swanson, TLLP

Practitioner Psychologist Plymouth, MI

Practice location

Address: 705 S Main St STE 280, Plymouth, MI 48170-1060
Phone: (734) 454-1094
Mailing address: 3285 Duffield St, White Lake, MI 48383-1713

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6301017249 (MI)

Other Psychologist providers in Michigan →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053723098
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2014
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.