Active NPI
Mariel B Latimore, CF-SLP
- Speech-Language Pathologist
- Hummelstown, PA
National Provider Identifier
1104718253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PLS002851
- Practice address
- 245 W Main St
Hummelstown, PA 17036-1421 - Phone
- (717) 449-4854
- Fax
- (717) 319-5558
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
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 | PLS002851 | PA | Primary |
Addresses
Primary practice location
245 W Main St
Hummelstown, PA 17036-1421
Mailing address
245 W Main Street
Braelyn@Cpatherapyconnections.Com
Hummelstown, PA 17036
Phone (717) 449-4854
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLS002851 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1104718253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W MAIN STREET",
"address_2": "BRAELYN@CPATHERAPYCONNECTIONS.COM",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "17036",
"telephone_number": "717-449-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W MAIN ST",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170361421",
"telephone_number": "717-449-4854",
"fax_number": "717-319-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMORE",
"first_name": "MARIEL",
"middle_name": "B",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "PLS002851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hummelstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.