Swanson, Mary Catherine

Swanson, Mary Catherine is an individual health care provider with primary practice located at 784 Blanding Blvd Ste 108 , Orange Park FL 32065-7724. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Swanson, Mary Catherine can be contacted via phone (904) 264-2636.

Contact Information

Primary practice address
784 Blanding Blvd Ste 108 Orange Park FL 32065-7724
Phone: (904) 264-2636
Fax: (904) 517-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY53 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA197 Florida

Profile Details

NPI number 1679584106
LBN Legal business name Swanson, Mary Catherine
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 16th, 2025 - about last year

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 1679584106 NPPES
Georgia MEDICAID 000883418A
Georgia MEDICAID 6002919000

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