Danielle D Bercovitch, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011630 Issued in PA

Practice address

1930 S Broad
Philadelphia, PA 19103

Phone

(856) 495-5280

NPI assigned

Jun 15, 2017

Last updated

Jul 21, 2022By 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

Other names 1

• Danielle Gabbay Former name

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326578907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MARKET ST UNIT 2907",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031366",
            "telephone_number": "856-495-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "856-495-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCOVITCH",
        "first_name": "DANIELLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "GABBAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ina Beqiri, CCC-SLP
• Anthony Berard, PHARMD
• Giuliana Giuseppina Berardi, MD
• Jessica Berardinucci, LCSW
• Lauren Berardo, MSW, LSW
• David Berd, M.D.
• Violetta Berdichevskaya, M.D.
• Nataly Berdichevsky, DC
• Pedro Kirkor Beredjiklian, MD
• Kimberly B Berenbaum, CRNP

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, 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 Jul 21, 2022; 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.