Traci Lynn Princevalli-Rhodes, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003912L Issued in PA

Practice address

112 Morning Walk Drive
Warrington, PA 18976-1659

Phone

(215) 918-1876

NPI assigned

Apr 27, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1528385895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MORNING WALK DRIVE",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761659",
            "telephone_number": "215-918-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MORNING WALK DRIVE",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761659",
            "telephone_number": "215-918-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCEVALLI-RHODES",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003912L",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00261900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polaris Pharmacy Services of Warrington, LLC (Polaris Pharmacy Services)
• Polaris Pharmacy Services of Warrington, LLC (Polaris Correctional Pharmacy)
• Polaris Pharmacy Services of Warrington, LLC (Polaris Pharmacy Services)
• Emma Pole
• Broderick President, M.A.
• Procare Rehabilitation Associates, LLC
• Teresa M Propato, D.P.M.
• Gina Marie Quinlan, LPC, BC-DMT
• Gretchen Elisabeth Quinn, MS OTR/L
• Quintessential Health PC

• Speech-Language Pathologist in Warrington, PA
• Providers in Warrington, 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 Apr 27, 2010; 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.