Kelly Lytle, MA CCC-SLP
Speech-Language Pathologist, in Bryn Mawr, PA. Individual provider (NPI-1).
NPI number1770969693
StatusActive
Last updated in NPPESAug 3, 2015
Details
- NPI
- 1770969693
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lytle
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2015
- Last updated
- Aug 3, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL012561 | PA | Yes |
Practice location
455 S Roberts Rd455 S Roberts Road
Bryn Mawr, PA 19010-2131
Phone 717-856-3071
Mailing address
207 Parker AvePhiladelphia, PA 19128-4440
Phone 717-856-3071
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Speech-Language Pathologist providers in Bryn Mawr · All 1,756 providers in Bryn Mawr
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