Ilyssa Swartout is a Clinical in Buckeye, Arizona. Ilyssa Swartout practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ilyssa Swartout is 1881630325. The last update date is 2022-09-21.
Ilyssa Swartout's current location address is 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona. You can contact this provider via phone number 6025481444 and fax number 6025481446. The mailing address for Ilyssa Swartout is 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ilyssa Swartout |
|---|---|
| Address | 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona |
| Phone Number | 6025481444 |
| Fax Number | 6025481446 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1881630325 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
| Address | 19580 W Indian School Rd Ste 105-134 |
|---|---|
| City | Buckeye |
| State | Arizona (AZ) |
| Post Code | 853962081 |
| Phone Number | 6025481444 |
| Fax Number | 6025481446 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3612 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Ilyssa Swartout by the Centers for Medicare & Medicaid Services?
The Ilyssa Swartout has been assigned the NPI (National Provider Identifier) 1881630325. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ilyssa Swartout is physically located?
The Ilyssa Swartout is physically situated at the following address: 19580 W Indian School Rd Ste 105-134, Buckeye, AZ, 853962081.
What is the area of specialization for Ilyssa Swartout, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ilyssa Swartout is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Ilyssa Swartout receive its 1881630325 assignment?
The Ilyssa Swartout was assigned its 1881630325 on 2006-06-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Ilyssa Swartout's details last updated?
The information pertaining to the Ilyssa Swartout, including its address, specialty, and other details, was most recently updated on 2022-09-21.
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