Healthcare Provider Details

I. General information

NPI: 1356850184
Provider Name (Legal Business Name): AMERICA JEAN SWARTZEL MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 W MAIN ST
NEW LEBANON OH
45345-9760
US

IV. Provider business mailing address

225 W SOMERS ST
EATON OH
45320-1741
US

V. Phone/Fax

Practice location:
  • Phone: 937-687-3511
  • Fax: 937-687-7804
Mailing address:
  • Phone: 937-472-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.11389
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: