Mary Elizabeth Mistishen, MS SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003222L Issued in PA

Practice address

803 N Wahneta St
Allentown, PA 18109-2422

Phone

(610) 782-8363

NPI assigned

Mar 21, 2007

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

Other names 1

• Ms. Mary Elizabeth McCabe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821114141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HUGHES ST",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179608547",
            "telephone_number": "570-943-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N WAHNETA ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092422",
            "telephone_number": "610-782-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTISHEN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS SLP CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003222L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCCABE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MS SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joann M Miskevish, RPH., RPI.
• Nicole Marie Misko, PAC
• John S Missanelli, D.O.
• Timothy Scott Misselbeck, MD
• Jordan Mister
• Monica Mistry, DO
• Patricia Mitchell-Bowman, FNP
• Heather Marie Mitchell, PA
• Christina R Mitman, PT
• Sneha Mitra, PHARM.D.

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