Active NPIIndividual provider

Kailey Vitale, MA, CCC-SLP

Speech-Language Pathologist, in Boston, Massachusetts

NPI Number1801447495
Practice location
830 Harrison Ave, Boston, MA 02118-2905
Fax
—
Last updated
September 25, 2019

Kailey Vitale is a Speech-Language Pathologist, based in Boston, MA. Kailey Vitale practices in Boston, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Kailey Vitale is 1801447495 and holds a License No. 77412-SP-SL (MA). The current practice location address for Kailey Vitale is 830 Harrison Ave, Boston, MA 02118-2905 and can be reached out via phone at 617-414-6788.

Provider Profile Details

NPI Number
1801447495
Provider Name
Kailey Vitale
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
830 Harrison Ave, Boston, MA 02118-2905
Phone Number
617-414-6788
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2019
Last Update Date
September 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Harrison Ave
Boston, MA 02118-2905
City
Boston
Zip
02118-2905
Phone Number
617-414-6788
Boston, MA 02118Get directions →

Provider Business Mailing Address Details

Address
238 Hanover St Apt 1
Boston, MA 02113-2341
City
Boston
State
MA
Zip
02113-2341
Phone Number
630-815-9985

License Information

License Number
77412-SP-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kailey Vitale, MA, CCC-SLP?

The NPI number of Kailey Vitale, MA, CCC-SLP is 1801447495. It was assigned on September 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Kailey Vitale, MA, CCC-SLP?

Kailey Vitale, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77412-SP-SL.

Where does Kailey Vitale, MA, CCC-SLP practice?

The practice location is 830 Harrison Ave, Boston, MA 02118-2905. The office can be reached at 617-414-6788 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801447495 directly on the NPPES registry website.

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