Provider Demographics
NPI:1033434626
Name:MICHAEL D. SWAFFORD, PSY.D., P.C.
Entity Type:Organization
Organization Name:MICHAEL D. SWAFFORD, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:405-844-7793
Mailing Address - Street 1:105 S BRYANT AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6399
Mailing Address - Country:US
Mailing Address - Phone:405-844-7793
Mailing Address - Fax:405-844-2027
Practice Address - Street 1:105 S BRYANT AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6399
Practice Address - Country:US
Practice Address - Phone:405-844-7793
Practice Address - Fax:405-844-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty