Healthcare Provider Details

I. General information

NPI: 1437448255
Provider Name (Legal Business Name): DEBORAH L SWIFT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2107 N FRANKLIN DR STE 2
WASHINGTON PA
15301-5868
US

IV. Provider business mailing address

2107 N FRANKLIN DR STE 2
WASHINGTON PA
15301-5868
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-9010
  • Fax: 845-357-3574
Mailing address:
  • Phone: 724-222-9010
  • Fax: 845-357-3574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberF02551
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02551
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: