MEDICARE: ANN MASTOLONI NELLIGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SL008075	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6109527777	OTHER	PA	PRIVATE PRACTICE

General Provider Information

NPI Number	:	1437766870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MASTOLONI NELLIGAN

Provider Business Mailing Address
First Line	:	613 VALLEY FORGE RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3837
Country	:	US
Telephone Number	:	610-952-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 VALLEY FORGE RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3837
Country	:	US
Telephone Number	:	610-952-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	09/29/2020

Similar Medicare Providers

1114370103 — JAN BLUMENTHAL M.ED,LPC
Practice Location Address:

613 VALLEY FORGE RD
WAYNE, PA
19087-3837

Practice Phone: 610-246-3051
Practice Fax:

1023198926 — PEDIATRIC SPECIALTY PHYSICIANS, PC
Practice Location Address:

7429 INVERNESS COMMONS
FORT WAYNE, IN
46804-3837

Practice Phone: 260-408-5801
Practice Fax: 888-949-8258

1922001718 — DR. ROBERT CARMEN ROSE D.M.D.
Practice Location Address:

995 OLD EAGLE SCHOOL RD , SUITE 305
WAYNE, PA
19087-1709

Practice Phone: 610-687-0990
Practice Fax:

1538162219 — DR. RUTH S. MOOREVILLE MD
Practice Location Address:

110 WEST LANCASTER AVENUE, SUITE 200
WAYNE, PA
19087-4061

Practice Phone: 610-293-2229
Practice Fax: 610-293-2231

1518960293 — DR. HILARY FIELD MB B.CH. M.R.C.P.
Practice Location Address:

110 W LANCASTER AVE , STE 3
WAYNE, PA
19087-4043

Practice Phone: 610-293-2229
Practice Fax: 610-293-2231

1336144765 — DR. NEAL SAMUEL NEUMAN D.M.D.
Practice Location Address:

1100 W VALLEY RD , STE 3
WAYNE, PA
19087-1447

Practice Phone: 610-688-2266
Practice Fax: 610-688-8226

Directions to “ ANN MASTOLONI NELLIGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.