Briona Cordero, MS.CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009301 Issued in PA

Practice address

100 Community Dr
Suite 105
Tobyhanna, PA 18466-8985

Phone

(570) 839-9975

Fax

(570) 839-3395

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By 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

Other identifiers 1

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1437482379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "POCONO PINES",
            "state": "PA",
            "postal_code": "183500844",
            "telephone_number": "570-269-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "SUITE 105",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-9975",
            "fax_number": "570-839-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "BRIONA",
        "credential": "MS.CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "394532",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwina Burris
• Shaneeka Clarke
• Nicole Esther Cohen-Addad, M.D.
• Colonial Intermediate Unit #20
• Colonial Intermediate Unit 20
• Yesenia Cosme, CADC
• Christine Marie Cox, CRNP
• Ginger Davis, MSW,LSW
• Ann Marie Elizabeth Deantonio, PTA
• Maria Dejesus-Perez, MSW

• Speech-Language Pathologist in Tobyhanna, PA
• Providers in Tobyhanna, 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 10, 2009; 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.