Provider Demographics
NPI:1386394229
Name:SWAFFORD, NICOLE (SLPA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:SWAFFORD
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:DARDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 TAVISTOCK LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7589
Mailing Address - Country:US
Mailing Address - Phone:863-991-4142
Mailing Address - Fax:
Practice Address - Street 1:6900 TAVISTOCK LAKES BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7589
Practice Address - Country:US
Practice Address - Phone:407-970-0824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant