Provider Demographics
NPI:1063641041
Name:SWING, SIERRA L (PSYD)
Entity type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:L
Last Name:SWING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 SW ALASKA ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2730
Mailing Address - Country:US
Mailing Address - Phone:206-979-8787
Mailing Address - Fax:206-309-3373
Practice Address - Street 1:3515 SW ALASKA ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2730
Practice Address - Country:US
Practice Address - Phone:206-979-8787
Practice Address - Fax:206-309-3373
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60039110103T00000X, 103TF0200X, 103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service