Provider Demographics
NPI:1134601396
Name:SWEE, CYNNDRA JOY (CSCD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:CYNNDRA
Middle Name:JOY
Last Name:SWEE
Suffix:
Gender:F
Credentials:CSCD, CCC-SLP
Other - Prefix:
Other - First Name:CYNNDRA
Other - Middle Name:
Other - Last Name:CONNIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSCD, CCC-SLP
Mailing Address - Street 1:1569 DEVILS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MORA
Mailing Address - State:MN
Mailing Address - Zip Code:55051-7315
Mailing Address - Country:US
Mailing Address - Phone:507-517-4774
Mailing Address - Fax:
Practice Address - Street 1:1569 DEVILS LAKE DR
Practice Address - Street 2:
Practice Address - City:MORA
Practice Address - State:MN
Practice Address - Zip Code:55051-7315
Practice Address - Country:US
Practice Address - Phone:507-517-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE