Provider Demographics
NPI:1679832299
Name:SWOMLEY, DAVID NEAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NEAL
Last Name:SWOMLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ELM ST
Mailing Address - Street 2:#2F
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-1511
Mailing Address - Country:US
Mailing Address - Phone:732-447-7331
Mailing Address - Fax:
Practice Address - Street 1:26 ELM ST
Practice Address - Street 2:#2F
Practice Address - City:LAMBERTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08530-1511
Practice Address - Country:US
Practice Address - Phone:732-447-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00000300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional