Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013141894 Individual Practitioner Female Practitioner

Mary Iandolo , MA CCC-SLP

Speech-Language Pathologist • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Mary Iandolo, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Orlando, FL. Practice services are available at 12702 SCIENCE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12702 Science Dr

Orlando, FL 328263016

Telephone 4072810441
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
751 Specialists

Practicing in Orlando, FL (11640 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA9308

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001108100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christine Barber , MA, CCC-SLP

Speech-Language Pathologist

NPI 1104932763

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Shannon Dimino , SA5877

Speech-Language Pathologist

NPI 1780750943
Morgan Agosto , MS, OTR, L

Occupational Therapist

NPI 1780817023

Master of Science, Occupational Therapist Registered, L

Melissa Grace , OTR, L

Occupational Therapist

NPI 1922175710

Occupational Therapist Registered, L

Jodi-Ann Kong , MA

Speech-Language Pathologist

NPI 1992092837

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2011

Registered at 12702 SCIENCE DR, ORLANDO, FL 328263016 (Tel: 4072810441)

📍
Updated Business Mailing Address January 24, 2011

Registered at 9661 CAMBERLEY CIR, ORLANDO, FL 328365744 (Tel: 4074688205)

👤
Provider Name / Credentials Updated January 24, 2011

Recorded as MARY IANDOLO, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Speech-Language Pathologist (License #SA9308 in FL)

🟢
Initial NPI Registration & Enumeration May 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013141894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2009
Last Update: January 24, 2011
Sole Proprietor: Yes

Mailing Address

9661 Camberley Cir

Orlando, FL 328365744

Phone: 4074688205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.