Kelsey Dekoyer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL017583 Issued in PA

Practice address

210 E Street Rd Ste 2a
Feasterville Trevose, PA 19053-7680

Phone

(215) 344-2044

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Child's Therapy, Inc

  dba My Child's Therapy

  • Speech-Language Pathologist
  • Feasterville Trevose, PA
  • NPI 1518524420
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1679326169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 WILDMAN AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190207618",
            "telephone_number": "215-526-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E STREET RD STE 2A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537680",
            "telephone_number": "215-344-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKOYER",
        "first_name": "KELSEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Cowden
• Le Mai Cwikla, PHARMD
• Kelsey Dale
• Robert Bruce Daniels, D.M.D.
• Zarina Davidova, PHARMD
• Lynn Dellapietra, PH.D.
• Anthony Joseph Demaria, RPH
• Dental Beauty Inc
• Dentistry for Children and Adults LLC
• Judith Derosa

• Speech-Language Pathologist in Feasterville Trevose, PA
• Providers in Feasterville Trevose, 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 8, 2024; 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.