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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREG SWAN SWANSON, PH.D.

Active Sole Proprietor

DR. GREG SWAN SWANSON, PH.D. is a Clinical Psychologist healthcare provider located in BENTONVILLE, Virginia. NPI 1730117433 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · BENTONVILLE, VA

Registration Details

NPI Number
1730117433
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.124369979449 yrs)
Last Updated
Mar 20, 2023
Licenses
PSY000604 (GA)
0810008076 (VA)
Sole Proprietor
Yes

Practice Information

Address
103 RIDGE BROOK LN
BENTONVILLE, VA, 226102372
Browse VA providers · Browse ZIP 22610
Phone
7062847203
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.