Provider Demographics
NPI:1255727210
Name:SASDELLI, ANNE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:SASDELLI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-6807
Mailing Address - Country:US
Mailing Address - Phone:609-217-2563
Mailing Address - Fax:
Practice Address - Street 1:1817 OLDE HOMESTEAD LN STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6751
Practice Address - Country:US
Practice Address - Phone:717-394-3466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011388235Z00000X
DE01-0001722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist