Provider Demographics
NPI:1427159359
Name:SWARTZ, VIRGINIA D (PHD)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:D
Last Name:SWARTZ
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 1:1123 N 9TH ST BEATRICE
Mailing Address - Street 2:BLUE VALLEY BEHAVIORAL HEALTH
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310
Mailing Address - Country:US
Mailing Address - Phone:402-228-3386
Mailing Address - Fax:
Practice Address - Street 1:1123 N 9TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310
Practice Address - Country:US
Practice Address - Phone:402-228-3386
Practice Address - Fax:402-228-2004
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE47103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025208100Medicaid
NE47052851500Medicaid
NE47052851517Medicaid
NE47052851504Medicaid
NE47052851506Medicaid
8087OtherMIDLANDS CHOICE
NE47052851508Medicaid
NE47052851510Medicaid
NE10025207900Medicaid
NE47052851505Medicaid
NE47052851513Medicaid
NE10025208200Medicaid
NE47052851501Medicaid
NE47052851503Medicaid
NE47052851507Medicaid
NE47052851581Medicaid
NE47052851514Medicaid
NE47052851506Medicaid
NE10025208100Medicaid