Provider Demographics
NPI:1124534490
Name:ROSS-SWIFT, TAMMY S (HIS)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:S
Last Name:ROSS-SWIFT
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:S
Other - Last Name:SWIFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HIS
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:724-223-0175
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:724-223-0175
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO3551237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF03551OtherHIS