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Deactivated NPI 1073644738 Deactivated / Inactive NPI Female Practitioner

Elizabeth M Costello

Speech-Language Pathologist • Bradford, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elizabeth Costello has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date August 02, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Elizabeth Costello was a registered Speech-Language Pathologist practicing in Bradford, PA. Throughout an active medical career spanning 16 years, Elizabeth Costello provided care at the practice location at 604 W WASHINGTON ST until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

604 W Washington St

Bradford, PA 167012646

Telephone 8143684545
Fax 8143684379

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bradford, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Bradford, PA (7216 Statewide)

Telehealth Adoption Rate
0.0% 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 PA 0000125-SLP

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Alliyson Maduri , MS, SLP-CCC, L

Speech-Language Pathologist

NPI 1528441698

Master of Science, SLPCCC, L

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 604 W WASHINGTON ST, BRADFORD, PA 167012646 (Tel: 8143684545)

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Updated Business Mailing Address July 09, 2007

Registered at 604 W WASHINGTON ST, BRADFORD, PA 167012646 (Tel: 8143684545)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ELIZABETH COSTELLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #0000125-SLP in PA)

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073644738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 09, 2007
Deactivation Date: August 02, 2023

Mailing Address

604 W Washington St

Bradford, PA 167012646

Phone: 8143684545

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

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