Marianne Marie Swartz, SLP
Individual provider Active NPI Speech-Language Pathologist · Perrysburg, NY
NPI 1508901992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508901992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0164301 (NY)
- Practice address
- 10714 North Rd
Perrysburg, NY 14129-9746 - Phone
- (716) 938-6499
- Fax
- (716) 938-9145
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000027 | NY | Practitioner - Qualified Speech Language Pathologist | 9234273228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0164301 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0164301 | NY | Yes |
Addresses
Primary practice location
10714 North Rd
Perrysburg, NY 14129-9746
Mailing address
19 Cherry St
Franklinville, NY 14737-1135
Phone (716) 676-3728
Other providers in Perrysburg, NY
- Mathew Siracuse
- Debra L Skinner
- Leanne M Sobilo
- State of New York Comptrollers Office
- State of New York Comptrollers Office
- Jeffrey Michael Ventre
- James Robert Vetter Jr.
- Deborah B Wallmeyer
- Hannah Jean Westlake
- Lisa Sue Whipple
All providers in Perrysburg, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.