Provider Demographics
NPI:1912248071
Name:SWART, SARAH JANE (MED)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:SWART
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SYLVAN ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2765
Mailing Address - Country:US
Mailing Address - Phone:978-281-1418
Mailing Address - Fax:978-281-5802
Practice Address - Street 1:10 SYLVAN ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2765
Practice Address - Country:US
Practice Address - Phone:978-281-1418
Practice Address - Fax:978-281-5802
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst