Marcia Costanzo, SPP
Individual provider Active NPI Speech-Language Pathologist · New Castle, DE
NPI 1124454400 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1124454400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- O1-0000264 (DE)
- Practice address
- 318 E Basin Rd
New Castle, DE 19720-4214 - Phone
- (302) 323-2700
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0000264 | DE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0000264 | DE | Yes |
Addresses
Primary practice location
318 E Basin Rd
New Castle, DE 19720-4214
Mailing address
318 E Basin Rd
New Castle, DE 19720-4214
Phone (302) 323-2700
Other providers in New Castle, DE
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- Julissa Coriano
- Barry Corke
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- Myniqua Cotton
- Illene Courtright
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- Andrew Crell
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All providers in New Castle, DE · Speech-Language Pathologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. 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.