Provider Demographics
NPI:1215993852
Name:SWIFT, ADRIENNE (PHD)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:SWIFT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 BECKETT CENTER DR
Mailing Address - Street 2:SUITE 313
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5026
Mailing Address - Country:US
Mailing Address - Phone:513-860-2313
Mailing Address - Fax:513-860-4192
Practice Address - Street 1:8080 BECKETT CENTER DR
Practice Address - Street 2:SUITE 313
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5026
Practice Address - Country:US
Practice Address - Phone:513-860-2313
Practice Address - Fax:513-860-4192
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6031103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP30081Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER