Michaeline Nicole Cantono, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Wayne, PA

NPI 1811283641 · NPPES record last updated Jan 8, 2016

Key facts

NPI
1811283641
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL009407 (PA)
Practice address
614 Upper Weadley Rd
Wayne, PA 19087-5454
Phone
(215) 760-7811
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL009407PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009407 PA Yes

Addresses

Primary practice location

614 Upper Weadley Rd
Wayne, PA 19087-5454

Mailing address

614 Upper Weadley Rd
Wayne, PA 19087-5454
Phone (215) 760-7811

Other names

  • Michaeline Nicole Mairone Former name

Other providers in Wayne, PA

All providers in Wayne, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.