Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Marie Conicelli

Individual provider Speech-Language Pathologist · NPI 1346069804

Katie Marie Conicelli is a Qualified Speech Language Pathologist in Harleysville, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Shannondell, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2081 Braden Ct
Harleysville, PA 19438-2890
Phone: (484) 645-7244
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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 SL014565 (PA)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1346069804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address2081 Braden Ct, Harleysville, PA 19438-2890

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Shannondell, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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