Active NPI
Mary T. Dumas, SLP
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1225215577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL-005401-L
- Practice address
- 3975 Conshohocken Ave
Philadelphia, PA 19131-5426 - Phone
- (215) 879-1000
- Fax
- (215) 879-3912
- NPI assigned
- Jan 29, 2008
- 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 | SL-005401-L | PA | Primary |
Addresses
Primary practice location
3975 Conshohocken Ave
Philadelphia, PA 19131-5426
Mailing address
33D Lake Valhalla
East Stroudsburg, PA 18301-9607
Phone (570) 476-4847
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 |
|---|---|---|---|
| SL-005401-L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1225215577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33D LAKE VALHALLA",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019607",
"telephone_number": "570-476-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 CONSHOHOCKEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315426",
"telephone_number": "215-879-1000",
"fax_number": "215-879-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS",
"first_name": "MARY",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL-005401-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.