Doctor Name: | MARIA JOANNE SWANCOAT |
NPI Number: | 1598124208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 12854 |
Business Practice Address: | 200 S Manchester Ave Ste 100 Orange, CA - 928683217 |
Business Phone Number: | 7144565684 |
Business Fax Number: | |
Mailing Address: | 200 S Manchester Ave, Ste 100 ORANGE |
State: | CA |
Postal Code: | 928683217 |
Phone Number: | 7144565684 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |