Provider Demographics
NPI:1932125978
Name:SWANN, STEPHANIE ARLENE (LPC MT BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ARLENE
Last Name:SWANN
Suffix:
Gender:F
Credentials:LPC MT BC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ARLENE
Other - Last Name:SHIRKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2320 ROTHSVILLE RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8215
Mailing Address - Country:US
Mailing Address - Phone:717-627-5133
Mailing Address - Fax:717-627-0052
Practice Address - Street 1:2320 ROTHSVILLE RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8215
Practice Address - Country:US
Practice Address - Phone:717-627-5133
Practice Address - Fax:717-627-0052
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional