Provider Demographics
NPI:1952607806
Name:BRENAN-SWARTZ, CHRISTINE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:BRENAN-SWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:BRENAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25000 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-892-7034
Mailing Address - Fax:440-250-9013
Practice Address - Street 1:25000 CENTER RIDGE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-892-7034
Practice Address - Fax:440-250-9013
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0006785101YP2500X
OH6877103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional