Provider Demographics
NPI:1609641075
Name:SWARINGIN, KALEY
Entity Type:Individual
Prefix:DR
First Name:KALEY
Middle Name:
Last Name:SWARINGIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:48 ORANGE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3248
Mailing Address - Country:US
Mailing Address - Phone:314-607-4003
Mailing Address - Fax:
Practice Address - Street 1:2845 VETERANS MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3526
Practice Address - Country:US
Practice Address - Phone:314-286-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023043088103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical