Dianne M. McKitish, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL000292L Issued in PA

Practice address

2220 S Ellsworth St
Allentown, PA 18103-5914

Phone

(610) 791-1523

Fax

(610) 791-1523

NPI assigned

Mar 8, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720119175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S ELLSWORTH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035914",
            "telephone_number": "610-791-1523",
            "fax_number": "610-791-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S ELLSWORTH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035914",
            "telephone_number": "610-791-1523",
            "fax_number": "610-791-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITISH",
        "first_name": "DIANNE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000292L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0019263320004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry J McKenna, D.M.D., M.A.G.D.
• Jessica McKenney, PA-C
• Bailey McKeon, M.A, CCC-SLP
• Mary Angela McKinnon, DPT
• Molly McKinnon, DPT
• Karimah Danielle Larisa McKnight, BEHAVIOR TECHNICIAN
• Julie Marie McLaughlin, O.D.
• Melissa Anne McLaughlin, MSOTR/L
• William Michael McLaughlin Jr., DO
• Scott McLeod, DPM

• Speech-Language Pathologist in Allentown, PA
• Providers in Allentown, 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 8, 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.