Lisa Marie Fidler, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09136536 Issued in PA

Practice address

320 Neborlea Way
Collegeville, PA 19426-2104

Phone

(610) 721-3665

NPI assigned

May 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720296973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NEBORLEA WAY",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262104",
            "telephone_number": "610-721-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NEBORLEA WAY",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262104",
            "telephone_number": "610-721-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "09136536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Falcone, M.A., CFY-SLP
• Anne Kathleen Fanelli, M.ED., M.S.W., L.S.W
• Christine Farag, MD
• Lori G Felton
• Antonio Carmona Fernando, DC
• Jessica Fieo, L.AC.,L.OM,
• Elizabeth Ann Filler, MD
• Hank Finkel, D.C.
• Shayna Margaret Finn
• Timothy Fiorillo, D.O

• Speech-Language Pathologist in Collegeville, PA
• Providers in Collegeville, 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.