Active NPI
Emily Cipolla Desanto, M.S CCC-SLP
- Speech-Language Pathologist
- Williamsport, PA
National Provider Identifier
1174338537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012394
- Practice address
- 625 W Edwin St
Williamsport, PA 17701-4909 - Phone
- (570) 979-4952
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | SL012394 | PA | Primary |
Addresses
Primary practice location
625 W Edwin St
Williamsport, PA 17701-4909
Mailing address
440 Jaculin Ave
South Williamsport, PA 17702-7010
Phone (570) 447-7227
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012394 | PA | MD | Speech-Language Pathologist |
Interoperability endpoints
- emily.l.cipolladesanto@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1174338537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 JACULIN AVE",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027010",
"telephone_number": "570-447-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W EDWIN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177014909",
"telephone_number": "570-979-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPOLLA DESANTO",
"first_name": "EMILY",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.