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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225174907 | NPPES |
Massachusetts | MEDICAID | 1307606 |
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