Provider Demographics
NPI:1528865896
Name:SOUTHWEST DYSPHAGIA SOLUTIONS, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SOUTHWEST DYSPHAGIA SOLUTIONS, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SLP
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:801-682-9800
Mailing Address - Street 1:316 S 2450 E APT 31
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2552
Mailing Address - Country:US
Mailing Address - Phone:801-682-9800
Mailing Address - Fax:
Practice Address - Street 1:316 S 2450 E APT 31
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2552
Practice Address - Country:US
Practice Address - Phone:801-682-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech