MR. MATTHEW OMALLEY SLPA ITDS NPI 1457916215

NPI Information

  • NPI: 1457916215
  • Provider Name: MR. MATTHEW OMALLEY, SLPA, ITDS
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 201 THORNBERRY BRANCH LN
    DAYTONA BEACH, FL
    ZIP 32124
  • Phone: (317) 340-9490

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NPI Details

MR. Matthew Omalley, SLPA, ITDS is a speech-language assistant specialist technologist in Daytona Beach, FL. MR. Matthew Omalley, SLPA, ITDS NPI is 1457916215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL
ZIP 32124-652
Phone: (317) 340-9490

The enumeration date for this NPI number is 5/7/2019 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1252Y00000XEarly Intervention Provider AgencyNo
22355S0801XSpecialist/TechnologistSpeech-Language AssistantSI3849FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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