Provider Demographics
NPI:1134476344
Name:SWERDLOW, NEAL ROBERT (MD, PHD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:ROBERT
Last Name:SWERDLOW
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GILMAN DR.
Mailing Address - Street 2:UCSD DEPARTMENT OF PSYCHIATRY, 0804
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0804
Mailing Address - Country:US
Mailing Address - Phone:619-543-6270
Mailing Address - Fax:
Practice Address - Street 1:9500 GILMAN DR.
Practice Address - Street 2:UCSD DEPARTMENT OF PSYCHIATRY, 0804
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0804
Practice Address - Country:US
Practice Address - Phone:619-543-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG622892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry