Provider Demographics
NPI:1649902990
Name:SWASEY, KAYLEE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KAYLEE
Middle Name:
Last Name:SWASEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 17TH ST NW APT 109
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6416
Mailing Address - Country:US
Mailing Address - Phone:802-477-3960
Mailing Address - Fax:
Practice Address - Street 1:616 ASPEN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2648
Practice Address - Country:US
Practice Address - Phone:202-306-0505
Practice Address - Fax:877-632-7069
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty