Provider Demographics
NPI:1265602148
Name:SWEDA, MICHAEL GERARD (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GERARD
Last Name:SWEDA
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:WALTER REED ARMY MEDICAL CENTER; BUILDING 6
Mailing Address - Street 2:6900 GEORGIA AVENUE, NW; BUILDING 6
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0001
Mailing Address - Country:US
Mailing Address - Phone:202-782-5899
Mailing Address - Fax:202-782-7165
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER; BUILDING 6
Practice Address - Street 2:6900 GEORGIA AVENUE, NW; BUILDING 6
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-5899
Practice Address - Fax:202-782-7165
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPSY1000075103TC0700X
VA0810001688103TC0700X
MD02616103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical