Marlo Kay Dicello, M.S., CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL005289L Issued in PA

Practice address

2851 Centre Ave
Reading, PA 19605-2567

Phone

(610) 750-6514

NPI assigned

Sep 21, 2008

Last updated

Sep 21, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221955200000",
    "number": "1245480789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NO NAME RD",
            "city": "OLEY",
            "state": "PA",
            "postal_code": "195478648",
            "telephone_number": "610-987-0988",
            "fax_number": "610-987-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CENTRE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196052567",
            "telephone_number": "610-750-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICELLO",
        "first_name": "MARLO",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005289L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lynnette Dillard, MSW

• Speech-Language Pathologist in Reading, PA
• Providers in Reading, 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 Sep 21, 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.

Verify at the official NPI Registry.