Provider Demographics
NPI:1841623105
Name:SWARTZ, KATIE (MS, CF-SLP)
Entity type:Individual
Prefix:MISS
First Name:KATIE
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 HEMPSTEAD AVE
Mailing Address - Street 2:SUITE 701
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2737
Mailing Address - Country:US
Mailing Address - Phone:516-565-0388
Mailing Address - Fax:516-565-2782
Practice Address - Street 1:511 HEMPSTEAD AVENUE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552
Practice Address - Country:US
Practice Address - Phone:516-565-0388
Practice Address - Fax:516-565-2782
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist