Healthcare Provider Details

I. General information

NPI: 1457267536
Provider Name (Legal Business Name): SOUND WAVES SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
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 Number
License Number State

VIII. Authorized Official

Name: KATELYN SWIADER
Title or Position: OWNER, SLP
Credential: MS ED, CCC-SLP
Phone: 757-375-7583