Provider Demographics
NPI:1508098450
Name:SWOYER, BROOKE
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:SWOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 BIDDLE AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3460
Mailing Address - Country:US
Mailing Address - Phone:610-390-6760
Mailing Address - Fax:
Practice Address - Street 1:308 BIDDLE AVE
Practice Address - Street 2:APT 3
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-3460
Practice Address - Country:US
Practice Address - Phone:610-390-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009674235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist