Provider Demographics
NPI:1184794877
Name:SWANSON, ROBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SWANSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 CARMELITO AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4553
Mailing Address - Country:US
Mailing Address - Phone:831-402-3838
Mailing Address - Fax:
Practice Address - Street 1:215 W FRANKLIN ST
Practice Address - Street 2:STE 204
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2700
Practice Address - Country:US
Practice Address - Phone:831-402-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist