Doctor Name: | HOLLY ANN SWANSON |
NPI Number: | 1033368188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA9578 |
Business Practice Address: | 4284 Sw 161st Pl Miami, FL - 331853826 |
Business Phone Number: | 3052286252 |
Business Fax Number: | 3052286251 |
Mailing Address: | 10011 Sw 77th Ct, MIAMI |
State: | FL |
Postal Code: | 331562651 |
Phone Number: | 3056637732 |
Fax Number: | 3052286251 |
NPI Enumeration Date: | 09/13/2008 |
NPI Last Update Date: | 09/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |