Provider Demographics
NPI:1467995183
Name:MCSWAIN, ANSLEY ELIZABETH (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANSLEY
Middle Name:ELIZABETH
Last Name:MCSWAIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:ANSLEY
Other - Middle Name:
Other - Last Name:MCSWAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:5443 VILLAGE DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-5334
Mailing Address - Country:US
Mailing Address - Phone:704-773-2182
Mailing Address - Fax:
Practice Address - Street 1:5443 VILLAGE DR NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-5334
Practice Address - Country:US
Practice Address - Phone:704-773-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist