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NPI Code Detail

MEDICARE: STACY A SWIFT SLP

MEDICARE: STACY A SWIFT 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 PathologistMA

General Provider Information

NPI Number : 1376038869
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY A SWIFT SLP
Provider Business Mailing Address
First Line : 10 SHORT ST
Second Line :
City : CHARLESTOWN
State : MA
Zip : 02129-1443
Country : US
Telephone Number : 202-213-7523
Fax Number :
Provider Business Practice Location Address
First Line : 30 WARREN ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3680
Country : US
Telephone Number : 617-254-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 06/27/2018

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Directions to “ STACY A SWIFT SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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