Active NPI
Laura Marie Mertz, MA, CCC-SLP
- Speech-Language Pathologist
- Devon, PA
National Provider Identifier
1023492006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012532
- Practice address
- 261 Old Forge Xing
Devon, PA 19333-1122 - Phone
- (484) 362-8110
- NPI assigned
- Jul 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL012532 | PA | Primary |
Addresses
Primary practice location
261 Old Forge Xing
Devon, PA 19333-1122
Mailing address
261 Old Forge Xing
Devon, PA 19333-1122
Phone (484) 362-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012532 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437264000000",
"number": "1023492006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 OLD FORGE XING",
"city": "DEVON",
"state": "PA",
"postal_code": "193331122",
"telephone_number": "484-362-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 OLD FORGE XING",
"city": "DEVON",
"state": "PA",
"postal_code": "193331122",
"telephone_number": "484-362-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTZ",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-19",
"last_updated": "2015-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.