Kelly Lytle, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012561 Issued in PA

Practice address

455 S Roberts Rd
455 S Roberts Road
Bryn Mawr, PA 19010-2131

Phone

(717) 856-3071

NPI assigned

Aug 3, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1770969693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PARKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284440",
            "telephone_number": "717-856-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S ROBERTS RD",
            "address_2": "455 S ROBERTS ROAD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102131",
            "telephone_number": "717-856-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "KELLY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lingling Luo, RAC, DIPLAC
• Veena - Luthra, M.D
• Kelsey Bryn Ly, PA-C
• Mary Elizabeth Lynam, PA-C
• Lynann Mastaj D.M.D.
• Ryan Scott Macdougall, MD
• Martha Machowski, CRNP
• Amy Mack, LCSW
• Joseph Richard Mackay, RPH
• Carol W Madeja, PT

• Speech-Language Pathologist in Bryn Mawr, PA
• Providers in Bryn Mawr, 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 Aug 3, 2015; 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.