Provider Demographics
NPI:1356235659
Name:LOMBARDO, MARLEENA ROXANNE CROSSMAN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARLEENA
Middle Name:ROXANNE CROSSMAN
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 PARRISH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2112
Mailing Address - Country:US
Mailing Address - Phone:610-470-9469
Mailing Address - Fax:
Practice Address - Street 1:514 PARRISH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2112
Practice Address - Country:US
Practice Address - Phone:610-470-9469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL017116235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist