Provider Demographics
NPI:1992996565
Name:SWINGLE, CAROL LESLIE (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LESLIE
Last Name:SWINGLE
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 1:6 NOLAN DR
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2636
Mailing Address - Country:US
Mailing Address - Phone:610-659-3569
Mailing Address - Fax:
Practice Address - Street 1:6 NOLAN DR
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2636
Practice Address - Country:US
Practice Address - Phone:610-659-3569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015383103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical