| Katie Marie Conicelli, | |
|
2081 Braden Ct, Harleysville, PA 19438-2890 | |
| (484) 645-7244 | |
| Not Available |
| Full Name | Katie Marie Conicelli |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2081 Braden Ct, Harleysville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346069804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | SL014565 (Pennsylvania) | Primary |
| Provider Name | Shannondell, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922056076 PECOS PAC ID: 9032141189 Enrollment ID: O20130627000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Marie Conicelli, 2081 Braden Ct, Harleysville, PA 19438-2890 Ph: (484) 645-7244 | Katie Marie Conicelli, 2081 Braden Ct, Harleysville, PA 19438-2890 Ph: (484) 645-7244 |
Ab Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1850 Mary Ln, Harleysville, PA 19438 Phone: 215-703-8018 | |
Susan B. Bergey, CCC SLP L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Broad St, Suite H, Harleysville, PA 19438 Phone: 215-513-2240 Fax: 215-513-1891 | |
Mrs. Josyn Mckenna, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 244 Brenton Cir, Harleysville, PA 19438 Phone: 267-932-8605 | |
Tracy Lea Godshall, MA CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2131 Hendricks Station Rd, Harleysville, PA 19438 Phone: 215-234-4208 | |
Mrs. Susan W. Ryan, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Rittenhouse Rd, Harleysville, PA 19438 Phone: 215-513-1995 Fax: 215-513-9769 | |
Amy Burns, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1850 Mary Ln, Harleysville, PA 19438 Phone: 215-703-8018 |