Provider Demographics
NPI:1124378542
Name:SWARTZ-IRELAND, KEA JUDITH (AUD)
Entity Type:Individual
Prefix:DR
First Name:KEA
Middle Name:JUDITH
Last Name:SWARTZ-IRELAND
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 1:1922 NE 113TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6556
Mailing Address - Country:US
Mailing Address - Phone:206-417-4593
Mailing Address - Fax:
Practice Address - Street 1:1922 NE 113TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6556
Practice Address - Country:US
Practice Address - Phone:206-417-4593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60292983231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist