Provider Demographics
NPI:1962688697
Name:SWAY, ANDREW D (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:D
Last Name:SWAY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2920 W OLIVE AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4547
Mailing Address - Country:US
Mailing Address - Phone:818-620-3307
Mailing Address - Fax:818-848-4570
Practice Address - Street 1:2920 W OLIVE AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4547
Practice Address - Country:US
Practice Address - Phone:818-620-3307
Practice Address - Fax:818-848-4570
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34846106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist