Provider Demographics
NPI:1114151305
Name:SWYDEN, JULANE (LPC)
Entity type:Individual
Prefix:
First Name:JULANE
Middle Name:
Last Name:SWYDEN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 MORNING STAR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6576
Mailing Address - Country:US
Mailing Address - Phone:405-550-5467
Mailing Address - Fax:405-513-7373
Practice Address - Street 1:1300 E 15TH ST STE 130
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5051
Practice Address - Country:US
Practice Address - Phone:405-550-5467
Practice Address - Fax:405-550-5467
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional