Mary Beth Mytych

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLOO2565L Issued in PA

Practice address

280 Pennocks Bridge Rd
West Grove, PA 19390-9456

Phone

(610) 345-1800

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1265971360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BOOT RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353043",
            "telephone_number": "484-237-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PENNOCKS BRIDGE RD",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909456",
            "telephone_number": "610-345-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYTYCH",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLOO2565L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Coogan Montana, MD
• Morgan Kalman Clinic PA
• Tim Mudgett-McGeoch, PT
• Thomas Frederick Muller, D.M.D.
• Jillian Myers, LPC
• Stephen Naylor, DO
• Theresa A Noone, CNM
• Mark S. Noveck, MD
• Aidan Manley O'Brien
• Michael O'Donnell

• Speech-Language Pathologist in West Grove, PA
• Providers in West Grove, 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 Feb 22, 2017; 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.