Doctor Name: | REVA CHANA SWADRON |
NPI Number: | 1255756581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4864247 |
Business Practice Address: | 1111 Superior Ave E Ste 1800 Cleveland, OH - 441142500 |
Business Phone Number: | 2168380000 |
Business Fax Number: | |
Mailing Address: | 2416 Laurelhurst Rd, UNIVERSITY HEIGHTS |
State: | OH |
Postal Code: | 441184671 |
Phone Number: | 2166916970 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2014 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4864247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |