Katelyn Marie Petronie, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015775 Issued in PA

Practice address

5851 Cork Dr
Bethel Park, PA 15102-1313

Phone

(412) 297-6658

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1659942415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 CORK DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021313",
            "telephone_number": "412-297-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 CORK DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021313",
            "telephone_number": "412-297-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIE",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett C Perricelli, MD
• Dejalynn Daqua Peterson
• Carmen Anthony Petraglia, MD
• Karen Petrisin, PA-C
• Justin J Petrolla, MD
• Cindy Suzanne Pfrimmer, MA, LPC
• Physician Landing Zone, P.C.
• Physicians Landing Zone, P.C.
• Anthony John Pinter, OD
• Pittsburgh Dialysis Partners LLC

• Speech-Language Pathologist in Bethel Park, PA
• Providers in Bethel Park, 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 Jul 2, 2021; 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.