Provider Demographics
NPI:1942552930
Name:SHWALB, DAVID ABRAHAM (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ABRAHAM
Last Name:SHWALB
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ATTN: CAPT SHWALB, 36MDOS/SGOW
Mailing Address - Street 2:ANDERSEN AFB, GUAM UNIT 14010
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96543-4010
Mailing Address - Country:US
Mailing Address - Phone:671-366-5125
Mailing Address - Fax:
Practice Address - Street 1:36MDOS/SGOW (MENTAL HEALTH SERVICES)
Practice Address - Street 2:ANDERSEN AFB, GUAM UNIT 14010
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96543-4010
Practice Address - Country:US
Practice Address - Phone:671-366-5125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program