Andrea L Ciesielski, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Levittown, PA

NPI 1124356522 · NPPES record last updated Sep 21, 2015

Key facts

NPI
1124356522
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
48 Peachtree LN
Levittown, PA 19054-3704
Phone
(814) 880-8375
Fax
(215) 547-6972
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Nest Nurturing Elements Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

48 Peachtree LN
Levittown, PA 19054-3704

Mailing address

48 Peachtree LN
Levittown, PA 19054-3704
Phone (814) 880-8375

Other identifiers

IdentifierTypeStateIssuer
102407856MedicaidPA

Other providers in Levittown, PA

All providers in Levittown, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.