Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1083034755 |
---|---|
Provider Name | Karen Swartz |
First Address | Fremont, OH 43420-2580 |
Second Address | Fremont, OH 43420-2580 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 22/04/2014 |