Provider Demographics
NPI:1457126369
Name:MIDWEST SPEECH & SWALLOWING
Entity Type:Organization
Organization Name:MIDWEST SPEECH & SWALLOWING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUDICK
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:210-381-2994
Mailing Address - Street 1:2919 SW APPLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-6235
Mailing Address - Country:US
Mailing Address - Phone:210-381-2994
Mailing Address - Fax:
Practice Address - Street 1:2919 SW APPLEWOOD ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-6235
Practice Address - Country:US
Practice Address - Phone:210-381-2994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty