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NPI Code Detail

MEDICARE: SHANNON LEIGH SWINGLE SLP CF

MEDICARE: SHANNON LEIGH SWINGLE SLP CF
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 Pathologist

General Provider Information

NPI Number : 1396256848
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON LEIGH SWINGLE SLP CF
Provider Business Mailing Address
First Line : 4738 HAVEN LAKE RD APT F
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46280-2810
Country : US
Telephone Number : 317-522-7058
Fax Number :
Provider Business Practice Location Address
First Line : 2640 COLD SPRING RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-2272
Country : US
Telephone Number : 317-923-1177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ SHANNON LEIGH SWINGLE SLP CF” Practice Location

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