Main Line Speech Consultants, LTD.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL000963L Issued in PA

Legal business name

MAIN LINE SPEECH CONSULTANTS, LTD.

Practice address

626 Haverford Rd
Haverford, PA 19041-1102

Phone

(610) 649-8255

Fax

(610) 649-2924

NPI assigned

Apr 17, 2006

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly E Hahn, MA,CCC/SLPNPI 1043275365

Title

Director

Phone

(610) 649-8255

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelly E. Hahn, MA,CCC/SLP

  • Speech-Language Pathologist
  • Haverford, PA
  • NPI 1043275365
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Rosenfarb, MA

  • Speech-Language Pathologist
  • Haverford, PA
  • NPI 1942268180
  Medicare reassignment Care Compare group NPD
• Jayne Beth Weinstock

  • Speech-Language Pathologist
  • Haverford, PA
  • NPI 1104124684
  Medicare reassignment Care Compare group NPD
• Sara Schmuckler, MS CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
  • NPI 1619508595
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1487619235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 HAVERFORD RD",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411102",
            "telephone_number": "610-649-8255",
            "fax_number": "610-649-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 HAVERFORD RD",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411102",
            "telephone_number": "610-649-8255",
            "fax_number": "610-649-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE SPEECH CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-649-8255",
        "authorized_official_credential": "MA,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0823890000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2996",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "885850",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald C Lonnquist, MA, ATR-BC, LPC
• Susan Magargee, MD
• Wendy A. Mahoney, RN, CRNP
• Main Line Mental Health LLC
• Main Line Retina
• Main Line Therapy Solutions
• Main Line Therapy Solutions, LLC
• Katie Anne Manganello, PSYD
• Marilia Marien, PHD
• Bryan Ira Martin, MD

• Speech-Language Pathologist in Haverford, PA
• Providers in Haverford, 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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.