Individual
KRISTIN SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
88 STOCKBRIDGE RD, SCITUATE, MA 02066-4232
(617) 953-3399
Mailing address
88 STOCKBRIDGE RD, SCITUATE, MA 02066-4232
(617) 953-3399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12028926
ASHA
MA
01
—
5533
MA LICENSE
MA
Enumeration date
09/24/2012
Last updated
09/24/2012
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