Provider Demographics
NPI:1205486537
Name:SWIADER, KATELYN FRANCES (SLP)
Entity type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:FRANCES
Last Name:SWIADER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:KATELYN
Other - Middle Name:FRANCES
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4870 HAYGOOD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BCH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5300
Mailing Address - Country:US
Mailing Address - Phone:757-499-1290
Mailing Address - Fax:757-499-0958
Practice Address - Street 1:4870 HAYGOOD RD STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BCH
Practice Address - State:VA
Practice Address - Zip Code:23455-5300
Practice Address - Country:US
Practice Address - Phone:757-499-1290
Practice Address - Fax:757-499-0958
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist