Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 16330 | CA |
Y | 103TC0700X | Clinical Psychologist | 16330 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | 16330 | CA |
N | 103G00000X | Clinical Psychologist | 16330 | CA |
N | 103TC0700X | Clinical Psychologist | 16330 | CA |
NPI | 1336176239 |
---|---|
Provider Name | Dr. Annette M Swain |
First Address | Encino, CA 91436-4401 |
Second Address | Encino, CA 91436-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 22/12/2010 |