Swiderski, Carrie

Swiderski, Carrie is an sole proprietor health care provider with primary practice located at 1002 Georgia St Unit 104 , Huntington Beach CA 92648-4364. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Swiderski, Carrie can be contacted via phone (860) 417-9110.

Contact Information

Primary practice address
1002 Georgia St Unit 104 Huntington Beach CA 92648-4364
Phone: (860) 417-9110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 003660 Connecticut

Profile Details

NPI number 1225174907
LBN Legal business name Swiderski, Carrie
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Sep 9th, 2019 - about 5 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 1225174907 NPPES
Massachusetts MEDICAID 1307606

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