Provider Demographics
NPI:1215258900
Name:SWIFT, SHERRI
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:SWIFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 ENTERPRISE DR
Mailing Address - Street 2:SUITE 105A BLDG.1
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6822
Mailing Address - Country:US
Mailing Address - Phone:707-425-1799
Mailing Address - Fax:
Practice Address - Street 1:250 SAINT JOSEPH ST
Practice Address - Street 2:APT. 220
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-1653
Practice Address - Country:US
Practice Address - Phone:916-968-5846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor