Provider Demographics
NPI:1770655326
Name:RICHARD, NANCY SWEIGART (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SWEIGART
Last Name:RICHARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8446
Mailing Address - Country:US
Mailing Address - Phone:828-265-3466
Mailing Address - Fax:828-264-1725
Practice Address - Street 1:895 STATE FARM RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4917
Practice Address - Country:US
Practice Address - Phone:828-266-9690
Practice Address - Fax:828-264-1725
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2387103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist