Maryanna Shtulman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL13620 Issued in PA

Practice address

700 Abbott Dr Unit 2
Broomall, PA 19008-4323

Phone

(484) 444-2285

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1033730304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SPRING GARDEN ST SIDE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304138",
            "telephone_number": "484-444-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ABBOTT DR UNIT 2",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084323",
            "telephone_number": "484-444-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 Spring Garden St Side 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191304138",
            "country_code": "US",
            "telephone_number": "484-444-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHTULMAN",
        "first_name": "MARYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL13620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Shimko, DPT
• Stephen A Shore, M.D.
• Andrew Edward Short, MD
• Lori Short, BCBA
• Larry M Shrager, D.O.
• Sidney I & Jerry P Davidoff PTR
• Silver Cross
• Maddison Lauren Simmons
• Julia Ann Skibjak
• Nathaniel Tarpleh Sloh Jr.

• Speech-Language Pathologist in Broomall, PA
• Providers in Broomall, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.