Provider Demographics
NPI:1730206061
Name:SCHWIMER, JOAN (CCC)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:SCHWIMER
Suffix:
Gender:F
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18195 BOCA WAY DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-1518
Mailing Address - Country:US
Mailing Address - Phone:561-487-8331
Mailing Address - Fax:561-487-8331
Practice Address - Street 1:18195 BOCA WAY DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-1518
Practice Address - Country:US
Practice Address - Phone:561-487-8331
Practice Address - Fax:561-487-8331
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA0003101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA0003101OtherSPEECH-LANGUAGE PATHOLOGI