Individual provider Active NPI

Gayle Dede

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1639617194
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012599 Issued in PA
Practice address
1701 N 13TH St RM 110
Dept of Communication Sciences and Disorders, Temple U
Philadelphia, PA 19122-6011
Phone
(215) 204-2453
NPI assigned
Feb 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL012599 PA Primary

Addresses

Primary practice location

1701 N 13TH St RM 110
Dept of Communication Sciences and Disorders, Temple U
Philadelphia, PA 19122-6011

Mailing address

3750 Main St
502
Philadelphia, PA 19127-2100
Phone (215) 204-2453

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

LicenseStateTypeSpecialty
SL012599PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1639617194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 MAIN ST",
            "address_2": "502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272100",
            "telephone_number": "215-204-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N 13TH ST RM 110",
            "address_2": "DEPT OF COMMUNICATION SCIENCES AND DISORDERS, TEMPLE U",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226011",
            "telephone_number": "215-204-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDE",
        "first_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.