Individual ProviderJune Angela SwanPsychologistBehavioral Health & Social Service ProvidersPractice Address8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730(909) 510-7643PECOS EnrollmentBased on the most recent information from CMS, provider June Angela Swan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295855468Provider TypeIndividualFull NameSwan, June AngelaTitleDr.CredentialPH D.GenderFemaleSole ProprietorYesEnumeration Date3/30/2007Last Updated7/25/2019Contact InformationPractice LocationPractice Address8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730Phone(909) 510-7643Fax(909) 463-9004Mailing LocationMailing Address8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730Phone(909) 510-7643Fax(909) 463-9004Provider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY16138California