Provider Demographics
NPI:1912886235
Name:SWICK, EMILY (M ED C-SLPA)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:SWICK
Suffix:
Gender:F
Credentials:M ED C-SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S LEWIS
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-8525
Mailing Address - Country:US
Mailing Address - Phone:318-758-1735
Mailing Address - Fax:
Practice Address - Street 1:630 S LEWIS
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-8525
Practice Address - Country:US
Practice Address - Phone:318-758-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA165292355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant