National Provider Identifier

Swapna Omved Rao, PH.D.

Swapna Omved Rao, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Lackawanna, NY and a listed phone number of (716) 828-7404.

NPI 1093674707Lackawanna, NYClinical Child & Adolescent Psychologist

Profile Overview

NPI
1093674707
Provider Type
Individual
Primary Specialty
Clinical Child & Adolescent Psychologist
Enumeration Date
January 19, 2026
Last Updated
January 19, 2026

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-7404

Specialties

  • Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
NPI
1093674707
Entity Type
Individual
Last Name
Rao
First Name
Swapna
Middle Name
Omved
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 828-7404
Mailing Fax
(716) 828-7589
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-7404
Practice Fax
(716) 828-7589
Enumeration Date
January 19, 2026
Last Updated
January 19, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 19, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Child & Adolescent Psychologist (103TC2200X)