Provider Demographics
NPI:1891182176
Name:SWANSON-FELLOWS, HEIDI (MS)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:
Last Name:SWANSON-FELLOWS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8196 WALNUT HILL LN
Mailing Address - Street 2:CANCER CENTER, SUITE 120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4452
Mailing Address - Country:US
Mailing Address - Phone:214-345-6625
Mailing Address - Fax:214-345-4219
Practice Address - Street 1:8196 WALNUT HILL LN
Practice Address - Street 2:CANCER CENTER, SUITE 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4452
Practice Address - Country:US
Practice Address - Phone:214-345-6625
Practice Address - Fax:214-345-4219
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS