Provider Demographics
NPI:1154806669
Name:SWORDS, ASHLEY (MCD-SLP/CCC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SWORDS
Suffix:
Gender:F
Credentials:MCD-SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 DEVEREAUX DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-6129
Mailing Address - Country:US
Mailing Address - Phone:318-751-6551
Mailing Address - Fax:
Practice Address - Street 1:111 DEVEREAUX DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-6129
Practice Address - Country:US
Practice Address - Phone:318-751-6551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist