Susan Demilia, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004247L Issued in PA

Practice address

3814 Forest Hill Dr
Furlong, PA 18925-1182

Phone

(215) 794-5869

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Circle Speech Services, LLC

  • Speech-Language Pathologist
  • Doylestown, PA
  • NPI 1093120248
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174725493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 FOREST HILL DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251182",
            "telephone_number": "215-794-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 FOREST HILL DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251182",
            "telephone_number": "215-794-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILIA",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004247L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bucks County Womens Wellness LLC
• Victoria Ann Burke, DC
• Leonard A Carlino, PH.D.
• Mary Jean Cooper, MA SLP
• Jennifer Cunnane, MA, LPC
• David E Dipietro, M.D.
• Beverly Ann Dorsey-Funk, PAC
• Doylestown Hospital
• Elium Care, PC
• Gail Katharine Elliot, PH.D.

• Speech-Language Pathologist in Furlong, PA
• Providers in Furlong, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.