Mary Christine Vignola-Robeson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013829 Issued in PA

Practice address

542 Boulevard Ave
Dickson City, PA 18519-1750

Phone

(570) 489-5010

Fax

(570) 489-5060

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mary Christine Vignola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1437590684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 NORTHERN BLVD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118740",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 BOULEVARD AVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191750",
            "telephone_number": "570-489-5010",
            "fax_number": "570-489-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGNOLA-ROBESON",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034472200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VIGNOLA",
            "middle_name": "CHRISTINE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Tylutki, PA
• Michael J Umerich
• William Michael Umerich, DDS
• Christopher William Urbanek, DO
• Laurie B Valunas, CRNP
• Lori Ann Villano, MSW, LCSW, CAADC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1884)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Nicole Ann Walsh, PHARMD.
• Denise Marie Warhola, RPH

• Speech-Language Pathologist in Dickson City, PA
• Providers in Dickson City, 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 May 24, 2018; 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.