Provider Demographics
NPI:1578275244
Name:SWABIK, MICHELLE A (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:A
Last Name:SWABIK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 PARK ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:NY
Mailing Address - Zip Code:14781-9624
Mailing Address - Country:US
Mailing Address - Phone:716-753-6977
Mailing Address - Fax:
Practice Address - Street 1:191 PARK ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:NY
Practice Address - Zip Code:14781-9624
Practice Address - Country:US
Practice Address - Phone:716-753-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty