Wellformed AI

NPI 1124454400 · live from the CMS NPI Registry

Marcia Costanzo, SPP

Speech-Language Pathologist, in New Castle, DE. National Provider Identifier 1124454400, active.

NPI record

NPI1124454400 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location318 E Basin Rd, New Castle, DE 19720
Practice phone302-323-2700
EnumeratedSeptember 19, 2013
Last updatedSeptember 19, 2013
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XO1-0000264 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.