Individual
TERESA ANN SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC, SLP
Contact information
Practice address
4330 HATCHER PASS, FORT WAYNE, IN 46845-8848
(260) 482-4870
(260) 482-4870
Mailing address
4330 HATCHER PASS, FORT WAYNE, IN 46845-8848
(260) 482-4870
(260) 482-4870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20722360
IHCP PROVIDER NUMBER
IN
Enumeration date
05/01/2007
Last updated
07/08/2007
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