ATHANASIOS VARDOULIAS (NPI# 1528401551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528401551 |
| Entity Type | Individual |
| Full Name | ATHANASIOS VARDOULIAS |
| Credential | M.A., CCC-SLP, TSSLD |
| Practice Address |
73 Central St Apt 3 Waltham MA 02453-5446 |
| Practice Telephone | 5166031262 |
| Mailing Telephone | 5166031262 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9044 | MA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 019880 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
73 CENTRAL ST APT 3 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190769 | Emma Comiskey | Speech-Language Pathologist | 210 Bear Hill Rd Ste 400, Waltham, MA 02451-1025 | 2020-10-05 |
| 1275151052 | Lindsay Alexandra Schelhorn | Speech-Language Pathologist | 38 Middle St Apt 2, Waltham, MA 02451-4414 | 2020-07-08 |
| 1750914628 | Tanya Jean Distefano | Speech-Language Pathologist | 43 Rando Ln, Waltham, MA 02451-7541 | 2020-02-19 |
| 1346898012 | Tate Louise Strack | Speech-Language Pathologist | 220 Bear Hill Rd Ste 400, Waltham, MA 02451-1004 | 2019-08-27 |
| 1952809980 | Anna Therese Harris | Speech-Language Pathologist | 266 Crescent St # 1, Waltham, MA 02453-3417 | 2018-01-24 |
| 1467981399 | Ellen Gilmore | Speech-Language Pathologist | 465 Waverly Oaks Rd Ste 101, Waltham, MA 02452-8497 | 2017-06-05 |
| 1518316132 | Molly Rebecca Fischman | Speech-Language Pathologist | 465 Waverly Oaks Rd, Suite 101, Waltham, MA 02452-8438 | 2016-06-04 |
| 1205228111 | Cobblestones LLC | Speech-Language Pathologist | 85 River St, Waltham, MA 02453-8300 | 2015-03-02 |
| 1306260559 | Caitlin Mcauliffe Nusser Mannino | Speech-Language Pathologist | 260 Bear Hill Rd, Suite 105, Waltham, MA 02451-1000 | 2014-02-08 |
| 1437410743 | Annalisa Marie Hurley | Speech-Language Pathologist | 303 Wyman St Ste 300, Waltham, MA 02451-1255 | 2012-06-04 |
| Find all providers in WALTHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.