Provider Demographics
NPI:1881743466
Name:FOOTE, MARY SWIFT (PHD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:SWIFT
Last Name:FOOTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:49 E 78TH ST
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0211
Mailing Address - Country:US
Mailing Address - Phone:212-628-8256
Mailing Address - Fax:212-452-0080
Practice Address - Street 1:49 E 78TH ST
Practice Address - Street 2:SUITE 4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0211
Practice Address - Country:US
Practice Address - Phone:212-628-8256
Practice Address - Fax:212-452-0080
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011439-1103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling