Lilla Isabelle Salvesen, MS SLP CFY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

02213L Issued in MD

Practice address

8644 Water Fall Dr
Laurel, MD 20723-2033

Phone

(410) 656-2622

NPI assigned

Sep 26, 2020

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1740897438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OAK BLUFF RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372133",
            "telephone_number": "443-758-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 WATER FALL DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207232033",
            "telephone_number": "410-656-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVESEN",
        "first_name": "LILLA",
        "middle_name": "ISABELLE",
        "credential": "MS SLP CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02213L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Laurel, MD
• Providers in Laurel, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.