Elizabeth Haftl, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011924 Issued in PA

Practice address

475 Linden LN Apt 10
Media, PA 19063-3637

Phone

(484) 467-5477

NPI assigned

Jul 17, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elizabeth Anne Haftl

  • Speech-Language Pathologist
  • Media, PA
  • NPI 1861805053
  NPD (past) Authorized official

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1821405242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 LINDEN LN APT 10",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633637",
            "telephone_number": "484-467-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 LINDEN LN APT 10",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633637",
            "telephone_number": "484-467-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFTL",
        "first_name": "ELIZABETH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalitha Gurijala, MD037420-L
• Vidyasagar R Gurijala, M.D.
• Lauren Gutierrez
• H&R Consultation Partners (Thriveworks Counseling)
• David K Hadley, MD
• Juliana Hagan, CRNP
• Beena J Hagg, MD
• Hagop L Derkrikorian, MD, PC
• Bryan Haimes, M.D.
• Emily Haindl

• Speech-Language Pathologist in Media, PA
• Providers in Media, 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 17, 2014; 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.