Active NPI
Gina Divalerio
- Speech-Language Pathologist
- Wayne, PA
National Provider Identifier
1942752647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010990
- Practice address
- 445 Old Eagle School Rd
Wayne, PA 19087-2006 - Phone
- (610) 225-2451
- Fax
- (610) 964-6166
- NPI assigned
- Oct 27, 2016
- Last updated
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL010990 | PA | Primary |
Addresses
Primary practice location
445 Old Eagle School Rd
Wayne, PA 19087-2006
Mailing address
445 Old Eagle School Rd
Wayne, PA 19087-2006
Phone (610) 225-2451
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL010990 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1942752647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 OLD EAGLE SCHOOL RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872006",
"telephone_number": "610-225-2451",
"fax_number": "610-964-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 OLD EAGLE SCHOOL RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872006",
"telephone_number": "610-225-2451",
"fax_number": "610-964-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVALERIO",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.