1629457916 NPI number — SWANK INSTITUTE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629457916 NPI number — SWANK INSTITUTE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SWANK INSTITUTE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629457916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6207 BEE CAVES RD
Provider Second Line Business Mailing Address:
SUITE 360
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-5034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-330-1700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6207 BEE CAVES RD
Provider Second Line Business Practice Location Address:
SUITE 360
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-5034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-330-1700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SWANK
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
KATHERINE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
512-330-1700

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2355S0801X . This is a "SPEECH-LANGUAGE PATHOLOGIST" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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