Provider Demographics
NPI:1801936265
Name:SWERDLOW-FREED PSYCHOLOGY, P.C.
Entity type:Organization
Organization Name:SWERDLOW-FREED PSYCHOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SWERDLOW-FREED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-539-7777
Mailing Address - Street 1:30600 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3161
Mailing Address - Country:US
Mailing Address - Phone:248-539-7777
Mailing Address - Fax:248-539-7713
Practice Address - Street 1:30600 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3161
Practice Address - Country:US
Practice Address - Phone:248-539-7777
Practice Address - Fax:248-539-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N99270Medicare ID - Type Unspecified