Provider Demographics
NPI:1902307788
Name:SWARD, TIARA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TIARA
Middle Name:
Last Name:SWARD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 HERITAGE PARK BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5623
Mailing Address - Country:US
Mailing Address - Phone:435-590-9415
Mailing Address - Fax:844-213-5859
Practice Address - Street 1:471 HERITAGE PARK BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5623
Practice Address - Country:US
Practice Address - Phone:435-590-9415
Practice Address - Fax:844-213-5859
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14224778235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty