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ATHANASIOS VARDOULIAS M.A. CCC-SLP TSSLD NPI 1528401551


NPI Information

NPI: 1528401551
Provider Name: ATHANASIOS VARDOULIAS, M.A., CCC-SLP, TSSLD
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
73 CENTRAL ST APT 3
WALTHAM, MA
ZIP 02453
Phone: (516) 603-1262
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Athanasios Vardoulias, M.A., CCC-SLP, TSSLD is a speech language pathologist in Waltham, MA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Athanasios Vardoulias, M.A., CCC-SLP, TSSLD NPI is 1528401551. 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:

73 CENTRAL ST APT 3
WALTHAM, MA
ZIP 02453-446
Phone: (516) 603-1262

The enumeration date for this NPI number is 4/9/2013 and was last updated on 10/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist019880NEW YORKNo
2235Z00000XSpeech-Language Pathologist9044MASSACHUSETTSYes

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: 4/28/2024

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