Provider Demographics
NPI:1750644787
Name:SWOPE, SUE E (LSW)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:E
Last Name:SWOPE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 JACKSON CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-5933
Mailing Address - Country:US
Mailing Address - Phone:812-459-5424
Mailing Address - Fax:812-429-9655
Practice Address - Street 1:2700 W INDIANA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5637
Practice Address - Country:US
Practice Address - Phone:812-428-0698
Practice Address - Fax:812-429-9655
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33002385A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor