Individual provider · Type 1 NPI

Elise Swain, CPMT

Specialist · Newport Beach, CA

NPI number 1790111367 Active

Practice location

1401 Avocado Ave, Ste. 810
Newport Beach, CA 92660-7720

Mailing address

48 Mirador
Irvine, CA 92612

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBT30007599 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790111367

Elise Swain, CPMT's National Provider Identifier is 1790111367, issued on Sep 16, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 16, 2013.