Healthcare Provider Details

I. General information

NPI: 1639073190
Provider Name (Legal Business Name): MAEVE M ROYNAN CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PINETOWN RD STE 260
FORT WASHINGTON PA
19034-2614
US

IV. Provider business mailing address

550 PINETOWN RD STE 260
FORT WASHINGTON PA
19034-2614
US

V. Phone/Fax

Practice location:
  • Phone: 445-236-0134
  • Fax: 267-285-2376
Mailing address:
  • Phone: 445-236-0134
  • Fax: 267-285-2376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPSL003341
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: