Provider Demographics
NPI:1902969009
Name:SWISHER, SUSAN KATHERINE (LMHC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:KATHERINE
Last Name:SWISHER
Suffix:
Gender:F
Credentials:LMHC LMFT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:PAILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:726 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067
Mailing Address - Country:US
Mailing Address - Phone:781-784-5749
Mailing Address - Fax:
Practice Address - Street 1:288 BED FORD ST
Practice Address - Street 2:WHITMAN COUNSELING
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382
Practice Address - Country:US
Practice Address - Phone:781-447-6425
Practice Address - Fax:781-447-1786
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4143LMHC103T00000X
MA1152LMFT103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist