Swan, Amanda

Swan, Amanda is an individual health care provider with primary practice located at 815 Jonesville Rd , Simpsonville SC 29681-4504. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Swan, Amanda can be contacted via phone (561) 400-0871.

Contact Information

Primary practice address
815 Jonesville Rd Simpsonville SC 29681-4504
Phone: (561) 400-0871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7070 South Carolina

Profile Details

NPI number 1710528658
LBN Legal business name Swan, Amanda
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2019
Last updated Oct 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710528658 NPPES
South Carolina MEDICAID SA2272

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