Provider Demographics
NPI:1568590495
Name:SWANK, LINDA K (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:SWANK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 BEE CAVE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5034
Mailing Address - Country:US
Mailing Address - Phone:512-330-1700
Mailing Address - Fax:512-330-1785
Practice Address - Street 1:6207 BEE CAVE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5034
Practice Address - Country:US
Practice Address - Phone:512-330-1700
Practice Address - Fax:512-330-1785
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100589235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist