Provider Demographics
NPI:1720050677
Name:SWECKER, JANICE F (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:F
Last Name:SWECKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 MEDINA RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2483
Mailing Address - Country:US
Mailing Address - Phone:330-379-0362
Mailing Address - Fax:330-665-8229
Practice Address - Street 1:4125 MEDINA RD
Practice Address - Street 2:SUITE 220
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2483
Practice Address - Country:US
Practice Address - Phone:330-379-0362
Practice Address - Fax:330-665-8229
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-05
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4250103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHR72953Medicare UPIN
OHCP00383Medicare PIN