Doctor Name: | MR. MICHAEL THOMAS SWARTZ |
NPI Number: | 1689693111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | SA 5169 |
Business Practice Address: | 13750 86th Ter Live Oak, FL - 320608830 |
Business Phone Number: | 3863646426 |
Business Fax Number: | 3863641433 |
Mailing Address: | 13750 86th Ter, LIVE OAK |
State: | FL |
Postal Code: | 320608830 |
Phone Number: | 3863646426 |
Fax Number: | 3863641433 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 5169 |
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 |