Bridget Bolton, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Newtown Square, PA
NPI 1073371795 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1073371795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL012758 (PA)
- Practice address
- 234 E Chelsea Cir
Newtown Square, PA 19073-2106 - Phone
- (215) 896-1189
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012758 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL012758 | PA | Yes |
Addresses
Primary practice location
234 E Chelsea Cir
Newtown Square, PA 19073-2106
Mailing address
234 E Chelsea Cir
Newtown Square, PA 19073-2106
Phone (215) 896-1189
Other providers in Newtown Square, PA
- Joseph Bertucci
- Best Care Home Agency LLC
- Ashley Blackburn
- Elizabeth Helen Bland
- Board of Supervisors Newtown Square Township
- Linda Jane Bonsall
- Brandon Tyler Boon
- Bryan John Boosz
- Heather Borchert
- Jerome Anthony Boscia
All providers in Newtown Square, 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 Mar 7, 2024. 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.