Lily Campoli
Individual provider Active NPI Speech-Language Pathologist · Glenside, PA
NPI 1013874148 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1013874148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP101721 (MA)
- Practice address
- 603 Edgley Ave
Glenside, PA 19038-5421 - Phone
- (215) 435-0465
- NPI assigned
- Jan 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP101721 | MA | MD | Speech-Language Pathologist |
| SL018491 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL018491 | PA | |
| Speech-Language Pathologist | 235Z00000X | SLP101721 | MA | Yes |
Addresses
Primary practice location
603 Edgley Ave
Glenside, PA 19038-5421
Mailing address
603 Edgley Ave
Glenside, PA 19038-5421
Other practice location 1
33 Ward St Apt 1
South Boston, MA 02127-4821
Phone (215) 435-0465
Other providers in Glenside, PA
- Michele Butler
- Taleah Monet Butler
- Laurel Joan Buxbaum
- Bryan Cammon
- Joseph Edward Campbell
- Alicia Anne Canzanese
- Lauren Elizabeth Caputo
- Peggy Chan
- Junaid K. Chaudhry
- Child and Family Focus
All providers in Glenside, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.