Basic Information
| Provider Information | |||||||||
| NPI: | 1336156066 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWIETLIK-KIEFFER | ||||||||
| FirstName: | GLORIA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LICENSED PSYCHOLOGIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 140 HARRISON DRIVE | ||||||||
| Address2: | |||||||||
| City: | EDINBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8147341001 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1910 SASSAFRAS ST | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144525573 | ||||||||
| FaxNumber: | 8144527610 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2006 | ||||||||
| LastUpdateDate: | 02/13/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | PS007385L | PA | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.