Provider Demographics
NPI:1265550362
Name:SWARTZ, SUSAN V (LMFT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:V
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5385 CLAIREMONT MESA BLVD APT 17
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2263
Mailing Address - Country:US
Mailing Address - Phone:858-900-1408
Mailing Address - Fax:
Practice Address - Street 1:750 B ST STE 2870
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8132
Practice Address - Country:US
Practice Address - Phone:619-722-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30882103TC0700X
CA42894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist