Individual provider Active NPI

Deirdre Theresa Smolizza, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Phoenixville, PA
National Provider Identifier
1841334877
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010287 Issued in PA
Practice address
283 Rivercrest Dr
Phoenixville, PA 19460-1064
Phone
(917) 647-8915
Fax
(610) 933-1125
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 010267 NY
Speech-Language Pathologist 235Z00000X SL010287 PA Primary

Addresses

Primary practice location

283 Rivercrest Dr
Phoenixville, PA 19460-1064

Mailing address

283 Rivercrest Dr
Phoenixville, PA 19460-1064
Phone (917) 647-8915

Other names 1

  • Deirdre Theresa Crowley Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
010267NYMDVeterinarian
SL010287PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1841334877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 RIVERCREST DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601064",
            "telephone_number": "917-647-8915",
            "fax_number": "610-933-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 RIVERCREST DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601064",
            "telephone_number": "917-647-8915",
            "fax_number": "610-933-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLIZZA",
        "first_name": "DEIRDRE",
        "middle_name": "THERESA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010267",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "CROWLEY",
            "middle_name": "THERESA",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.