Provider Demographics
NPI:1306355656
Name:SWARTZENDRUBER, LORRAINE LYNN (SLP- CFY)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:LYNN
Last Name:SWARTZENDRUBER
Suffix:
Gender:F
Credentials:SLP- CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W GROVE PKWY APT 283
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4588
Mailing Address - Country:US
Mailing Address - Phone:646-438-0195
Mailing Address - Fax:
Practice Address - Street 1:1310 S 15TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3826
Practice Address - Country:US
Practice Address - Phone:602-257-3830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist