NPI 1528516804 · live from the CMS NPI Registry
Maria Cillo, M.S. CCC-SLP
Speech-Language Pathologist, in Wilmington, NC. National Provider Identifier 1528516804, active.
NPI record
| NPI | 1528516804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1911 S 17th St Ste 100, Wilmington, NC 28401 |
| Practice phone | 910-313-2111 |
| Mailing address | 505 Valley Stream Dr, Newark, DE 19702 |
| Enumerated | September 15, 2016 |
| Last updated | October 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | O1-0001549 (DE) |
| Speech-Language Pathologist, primary | 235Z00000X | 12583 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.