Individual
LISA D SWAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
21750 227TH ST, TONGANOXIE, KS 66086-4470
(913) 710-0210
Mailing address
21750 227TH ST, TONGANOXIE, KS 66086-4470
(913) 710-0210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3019
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12154709
ASHA
—
01
—
3019
LICSENSE
KS
01
—
NONE
NONE
—
Enumeration date
03/25/2020
Last updated
03/25/2020
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