Healthcare Provider Details

I. General information

NPI: 1205486537
Provider Name (Legal Business Name): KATELYN FRANCES SWIADER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KATELYN FRANCES SEXTON

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 FIRST COLONIAL RD STE 101
VIRGINIA BEACH VA
23454-3070
US

IV. Provider business mailing address

2169 BIERCE DR
VIRGINIA BEACH VA
23454-7220
US

V. Phone/Fax

Practice location:
  • Phone: 757-375-7583
  • Fax:
Mailing address:
  • Phone: 757-375-7583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202008564
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: