Provider Demographics
NPI:1407998933
Name:SWIATEK, MARY ANN (PH D)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:SWIATEK
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 CORPORATE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8235
Mailing Address - Country:US
Mailing Address - Phone:484-224-3447
Mailing Address - Fax:484-224-3501
Practice Address - Street 1:3477 CORPORATE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8235
Practice Address - Country:US
Practice Address - Phone:484-224-3447
Practice Address - Fax:484-224-3501
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008521L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist