Provider Demographics
NPI:1326163668
Name:SWAIN, BARBARA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:SWAIN
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 1:143 N MCCORMICK ST STE 103
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-2725
Mailing Address - Country:US
Mailing Address - Phone:928-778-4745
Mailing Address - Fax:928-778-2543
Practice Address - Street 1:143 N MCCORMICK ST STE 103
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-2725
Practice Address - Country:US
Practice Address - Phone:928-778-4745
Practice Address - Fax:928-778-2543
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1508103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0600710OtherBCBS OF AZ
AZAZ0600710OtherBCBS OF AZ