Provider Demographics
NPI:1093023111
Name:SWART, JANA LEIGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LEIGH
Last Name:SWART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 MILTON ST
Mailing Address - Street 2:SUITE 635
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3907
Mailing Address - Country:US
Mailing Address - Phone:214-369-8866
Mailing Address - Fax:
Practice Address - Street 1:5646 MILTON ST
Practice Address - Street 2:SUITE 635
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3907
Practice Address - Country:US
Practice Address - Phone:214-369-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4957103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist