Dana K Boettinger, CCC SLP L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006138L Issued in PA

Practice address

310 Broad St
Suite H
Harleysville, PA 19438-2399

Phone

(215) 513-2240

Fax

(215) 513-1891

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By 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

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740494970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BROAD ST",
            "address_2": "SUITE H",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382399",
            "telephone_number": "215-513-2240",
            "fax_number": "215-513-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BROAD ST",
            "address_2": "SUITE H",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382399",
            "telephone_number": "215-513-2240",
            "fax_number": "215-513-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTINGER",
        "first_name": "DANA",
        "middle_name": "K",
        "credential": "CCC SLP L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006138L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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