Doctor Name: | MRS. SARAH SWIST |
NPI Number: | 1538414099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 021969 |
Business Practice Address: | 5090 Indian Neck Ln Peconic, NY - 119581712 |
Business Phone Number: | 6317939963 |
Business Fax Number: | |
Mailing Address: | Po Box 345, 5090 Indian Neck Lane PECONIC |
State: | NY |
Postal Code: | 119580345 |
Phone Number: | 6317939963 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |