Provider Demographics
NPI:1295836849
Name:SWINDALL, ALAN J (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:SWINDALL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-2038
Mailing Address - Country:US
Mailing Address - Phone:205-668-2344
Mailing Address - Fax:
Practice Address - Street 1:10903 HIGHWAY 119
Practice Address - Street 2:ALABASTER FUMC
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9701
Practice Address - Country:US
Practice Address - Phone:205-668-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL66106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51060944OtherBLUE CROSS/BLUE SHIELD
AL51060945OtherBLUE CROSS/BLUE SHIELD