Provider Demographics
NPI:1588559462
Name:SWALLOW SONG THERAPY PLLC
Entity type:Organization
Organization Name:SWALLOW SONG THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYSKO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC
Authorized Official - Phone:646-575-3139
Mailing Address - Street 1:1921 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4229
Mailing Address - Country:US
Mailing Address - Phone:646-575-3139
Mailing Address - Fax:
Practice Address - Street 1:1921 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4229
Practice Address - Country:US
Practice Address - Phone:646-575-3139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty