Provider Demographics
NPI:1265277719
Name:SWANK, QUINNETT (EDD)
Entity type:Individual
Prefix:DR
First Name:QUINNETT
Middle Name:
Last Name:SWANK
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7181 N HUALAPAI WAY STE 130-739
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-1115
Mailing Address - Country:US
Mailing Address - Phone:559-970-7248
Mailing Address - Fax:
Practice Address - Street 1:7181 N HUALAPAI WAY STE 130-739
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-1115
Practice Address - Country:US
Practice Address - Phone:559-970-7248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health