Provider Demographics
NPI:1437448255
Name:SWIFT, DEBORAH L (AUD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:SWIFT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 N FRANKLIN DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5868
Mailing Address - Country:US
Mailing Address - Phone:724-222-9010
Mailing Address - Fax:845-357-3574
Practice Address - Street 1:2107 N FRANKLIN DR STE 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5868
Practice Address - Country:US
Practice Address - Phone:724-222-9010
Practice Address - Fax:845-357-3574
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02551231H00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
300210600OtherWORKERS COMP