Active NPI
Stephanie Tempest Marino, B.A., M.A.
- Speech-Language Pathologist
- Northfield, IL
National Provider Identifier
1255459624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008700
- Practice address
- 550 W Frontage Rd Ste 2415
Northfield, IL 60093-1212 - Phone
- (877) 787-3422
- NPI assigned
- Mar 26, 2007
- 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 | SL008700 | PA | Primary |
Addresses
Primary practice location
550 W Frontage Rd Ste 2415
Northfield, IL 60093-1212
Mailing address
2128 Morgan Hill Dr
Pennsburg, PA 18073-1255
Phone (267) 664-6460
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
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008700 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1255459624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 MORGAN HILL DR",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731255",
"telephone_number": "267-664-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W FRONTAGE RD STE 2415",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600931212",
"telephone_number": "877-787-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "STEPHANIE",
"middle_name": "TEMPEST",
"name_prefix": "Mrs.",
"credential": "B.A., M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.