Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kara Noelle Phongxaysanith, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1033721618

Kara Noelle Phongxaysanith, CCC-SLP is a Qualified Speech Language Pathologist in Willow Street, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Cortlyn Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

900 Willow Valley Lakes Dr
Willow Street, PA 17584-9051
Phone: (717) 464-6861
Fax: (717) 464-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL007028 (PA)

Record details

NPI number1033721618
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cortlyn Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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