Active NPI
Ellen Kalodner Isdaner, MA,SLP,CCC
- Speech-Language Pathologist
- Drexel Hill, PA
National Provider Identifier
1255654356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000174L
- Practice address
- 3300 Township Line Road
Suite 102
Drexel Hill, PA 19026-1925 - Phone
- (610) 853-9919
- Fax
- (610) 853-9921
- NPI assigned
- Mar 4, 2010
- 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 | SL000174L | PA | Primary |
Addresses
Primary practice location
3300 Township Line Road
Suite 102
Drexel Hill, PA 19026-1925
Mailing address
357 Wyndmoor Lane
Huntingdon Valley, PA 19006
Phone (215) 938-1939
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL000174L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Therapy Club | Past | Accepting new patients | |
| Sunshine Therapy Club II Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Drexel Hill, PA
- NPI 1093015356
-
- Early Intervention Provider Agency
- Drexel Hill, PA
- NPI 1700186061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1255654356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 WYNDMOOR LANE",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "19006",
"telephone_number": "215-938-1939",
"fax_number": "215-938-7192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TOWNSHIP LINE ROAD",
"address_2": "SUITE 102",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261925",
"telephone_number": "610-853-9919",
"fax_number": "610-853-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISDANER",
"first_name": "ELLEN",
"middle_name": "KALODNER",
"name_prefix": "Mrs.",
"credential": "MA,SLP,CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000174L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.