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NPI Code Detail

MEDICARE: AMANDA SWAFFORD M.A.,CCC/SLP

MEDICARE: AMANDA SWAFFORD M.A.,CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist279045KY

General Provider Information

NPI Number : 1821723495
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SWAFFORD M.A.,CCC/SLP
Provider Business Mailing Address
First Line : 303 SECOND ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2390
Country : US
Telephone Number : 606-677-1166
Fax Number : 606-677-0693
Provider Business Practice Location Address
First Line : 8706 S US HIGHWAY 25
Second Line :
City : CORBIN
State : KY
Zip : 40701-4974
Country : US
Telephone Number : 606-677-1166
Fax Number : 606-677-0693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 10/03/2024

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