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NPI Code Detail

MEDICARE: ROBYN DEANNE SWERLYK M.S. CCC-SLP

MEDICARE:   ROBYN DEANNE SWERLYK  M.S. CCC-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 Pathologist4147AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129037174OTHERAZASHA LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34147OTHERAZARIZONA STATE LICENSE

General Provider Information

NPI Number : 1730301847
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN DEANNE SWERLYK M.S. CCC-SLP
Provider Business Mailing Address
First Line : 7547 E DESERT VISTA RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-2745
Country : US
Telephone Number : 480-634-1623
Fax Number :
Provider Business Practice Location Address
First Line : 5040 E SHEA BLVD STE 168
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-4686
Country : US
Telephone Number : 480-483-1025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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Directions to “ ROBYN DEANNE SWERLYK M.S. CCC-SLP” Practice Location

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