Leora Beacco Kalowsky, MED CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL001930L Issued in PA

Practice address

92 Walnut Ave
Sugarloaf, PA 18249

Phone

(570) 788-3502

Fax

(570) 788-7311

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Leora Ann Beacco Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1972782233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WALNUT AVE",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "18249",
            "telephone_number": "570-788-3502",
            "fax_number": "570-788-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WALNUT AVE",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "18249",
            "telephone_number": "570-788-3502",
            "fax_number": "570-788-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOWSKY",
        "first_name": "LEORA",
        "middle_name": "BEACCO",
        "name_prefix": "Mrs.",
        "credential": "MED CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001930L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEORA",
            "last_name": "BEACCO",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MED CCCSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Sugarloaf, PA
• Providers in Sugarloaf, 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 Nov 2, 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.