OrganizationSwan Psychological Services, Inc.PsychologistBehavioral 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 Swan Psychological Services, Inc. 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 ID1336792100Provider TypeOrganizationFull NameSwan Psychological Services, Inc.SubpartNoEnumeration Date7/22/2019Last Updated7/22/2019Contact 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) 463-9004Authorized OfficialNameSwan, June Angela (Lic. Psychologist)Phone(909) 463-9004Provider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer