Provider Demographics
NPI:1679907901
Name:SWANN, ASHLEY BROOK (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BROOK
Last Name:SWANN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LOGAN ST STE M
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-2857
Mailing Address - Country:US
Mailing Address - Phone:828-226-2368
Mailing Address - Fax:828-559-2165
Practice Address - Street 1:29 LOGAN ST STE M
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-2857
Practice Address - Country:US
Practice Address - Phone:828-226-2368
Practice Address - Fax:828-559-2165
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1403246235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist