Doctor Name: | JESSICA L SWERSKY |
NPI Number: | 1346527124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 12110433 |
Business Practice Address: | 490 N Diamond Ave Canon City, CO - 812122521 |
Business Phone Number: | 7192751616 |
Business Fax Number: | 7192754619 |
Mailing Address: | 702 W 1st St, SALIDA |
State: | CO |
Postal Code: | 812011610 |
Phone Number: | 7192751616 |
Fax Number: | 7192754619 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12110433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |