Darlene Baclawski, C.C.C. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL002583L Issued in PA

Practice address

1210 Bonair Drive
Williamsport, PA 17701

Phone

(570) 323-4555

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1538344213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BONAIR DRIVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-323-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BONAIR DRIVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-323-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACLAWSKI",
        "first_name": "DARLENE",
        "credential": "C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002583L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Frances Attou, MSED
• Heidi Ault, PHARM D
• Axis Massage Centre, Inc.
• Michel Aziz
• Alfred Konopka Bachiller, D.O.
• Hanae L Bahr, M.D,
• Bradley Scott Bailey, MD
• Carol McCarty Bailey, L.S.W.
• John H Bailey Jr., MD
• Laura Elaine Bailey, CRNP

• Speech-Language Pathologist in Williamsport, PA
• Providers in Williamsport, 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 Dec 31, 2007; 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.