Active NPI
Lynn Ryan Moran, SLP
- Speech-Language Pathologist
- Havertown, PA
National Provider Identifier
1558560557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000709L
- Practice address
- 1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904 - Phone
- (610) 449-1600
- Fax
- (610) 449-2655
- NPI assigned
- Jul 11, 2007
- Last updated
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL000709L | PA | Primary |
Addresses
Primary practice location
1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904
Mailing address
PO Box 307
3666 Wilhelm Road
Hellertown, PA 18055-0307
Phone (610) 838-7969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL000709L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1558560557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"address_2": "3666 WILHELM ROAD",
"city": "HELLERTOWN",
"state": "PA",
"postal_code": "180550307",
"telephone_number": "610-838-7969",
"fax_number": "610-838-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N BELFIELD AVE",
"address_2": "SUNNY DAYS",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190834904",
"telephone_number": "610-449-1600",
"fax_number": "610-449-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LYNN",
"middle_name": "RYAN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000709L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.