Provider Demographics
NPI:1023382231
Name:SWEARINGEN, AMY LYNN
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7476 E ARKANSAS AVE
Mailing Address - Street 2:#3310
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2562
Mailing Address - Country:US
Mailing Address - Phone:970-903-0951
Mailing Address - Fax:
Practice Address - Street 1:7476 E ARKANSAS AVE
Practice Address - Street 2:#3310
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2562
Practice Address - Country:US
Practice Address - Phone:970-903-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONCL-12154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health