Swavely, Brad Alan

Swavely, Brad Alan is an individual health care provider with primary practice located at 130 Highway 252 , Anderson SC 29621-5054. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Swavely, Brad Alan can be contacted via phone (803) 898-8405.

Contact Information

Primary practice address
130 Highway 252 Anderson SC 29621-5054
Phone: (803) 898-8405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 580 South Carolina

Profile Details

NPI number 1194755132
LBN Legal business name Swavely, Brad Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 10th, 2009 - about 17 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 1194755132 NPPES
South Carolina MEDICAID PS0176

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