Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS016885 | PA |
Y | 103TC0700X | Clinical Psychologist | PS016885 | PA |
NPI | 1003165549 |
---|---|
Provider Name | Dr. Christie Sworen |
First Address | Clarks Summit, PA 18411-9504 |
Second Address | Clarks Summit, PA 18411-9504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 22/11/2016 |