Provider Demographics
NPI:1447865035
Name:SWAUGER, KATHLEEN MACKAY
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MACKAY
Last Name:SWAUGER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:MACKAY
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2689 DUNDEE GLN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-8568
Mailing Address - Country:US
Mailing Address - Phone:760-484-4617
Mailing Address - Fax:
Practice Address - Street 1:100 HOLLAND GLN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1354
Practice Address - Country:US
Practice Address - Phone:760-746-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist