Provider Demographics
NPI:1164198719
Name:RONDE, SWAN BROWN
Entity Type:Individual
Prefix:DR
First Name:SWAN
Middle Name:BROWN
Last Name:RONDE
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:CHILDREN'S VILLAGE
Mailing Address - Street 2:1 ECHO HILLS
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10533-3600
Mailing Address - Country:US
Mailing Address - Phone:718-220-4700
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S VILLAGE
Practice Address - Street 2:1 ECHO HILLS
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522
Practice Address - Country:US
Practice Address - Phone:718-220-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009017-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical