Provider Demographics
NPI:1073216487
Name:NEUROCOMMUNICATION AND SWALLOW LLC
Entity type:Organization
Organization Name:NEUROCOMMUNICATION AND SWALLOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:K
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:559-593-5373
Mailing Address - Street 1:659 SHADWELL ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-1221
Mailing Address - Country:US
Mailing Address - Phone:559-593-5373
Mailing Address - Fax:
Practice Address - Street 1:659 SHADWELL ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-1221
Practice Address - Country:US
Practice Address - Phone:559-593-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health