CORRY SUMMERVILLE SLP
NPI 1124541792
Speech-Language Pathologist in Washington, DC

Active since July 25, 2017
4656 LIVINGSTON RD SE, WASHINGTON, DC 20032(202) 519-0982 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2023, Jul 21, 2022, Jul 25, 2017 (3 updates tracked since 2017).

About Corry Summerville Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORRY SUMMERVILLE SLP (NPI 1124541792) is an individual speech-language pathologist provider in Washington, District Of Columbia, licensed in Pennsylvania (SL011571) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1124541792
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameCORRY SUMMERVILLECredential: SLP
Location Address4656 LIVINGSTON RD SEWashington, DC 20032-3149
Mailing Address3000 Goffs Falls Rd Ste 101Manchester, NH 03103-6109 · (800) 995-2673 · Fax (888) 979-6551
Sole ProprietorYes
Enumeration DateJuly 25, 2017
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1124541792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in PA · SL011571 Licensed in NC · 11096 Licensed in FL · SA12982
Definition

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.

4656 LIVINGSTON RD SE, Washington, DC 20032

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Physical Therapist
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Occupational Therapist
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Occupational Therapist
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Nurse Practitioner (Family)
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Nurse Practitioner (Psychiatric/Mental Health)
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032
Occupational Therapist
4656 LIVINGSTON RD SE
WASHINGTON, DC 20032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124541792, enumerated as an "individual" on July 25, 2017.

The provider is located at 4656 LIVINGSTON RD SE WASHINGTON, DC 20032 and the phone number is (202) 519-0982.

Speech-Language Pathologist with taxonomy code 235Z00000X.