Active NPIIndividual provider

Gabriella D Vidal, CCC-SLP

Speech-Language Pathologist, in Ocean, New Jersey

NPI Number1902115397
Practice location
802 W Park Ave, Suite 211, Ocean, NJ 07712-8527
Fax
—
Last updated
October 1, 2010

Gabriella Didomenico Vidal is a Speech-Language Pathologist, based in Ocean, NJ. Gabriella Didomenico Vidal practices in Ocean, NJ and has the professional credentials of CCC-SLP. The NPI Number for Gabriella Didomenico Vidal is 1902115397 and holds a License No. 41YS00616100 (NJ). The current practice location address for Gabriella Didomenico Vidal is 802 W Park Ave, Suite 211, Ocean, NJ 07712-8527 and can be reached out via phone at 732-918-4848.

Provider Profile Details

NPI Number
1902115397
Provider Name
Gabriella Didomenico Vidal
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
802 W Park Ave, Suite 211, Ocean, NJ 07712-8527
Phone Number
732-918-4848
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
-- Gabriella Didomenico, CCC-SLP (Former Name)
Provider Enumeration Date
October 1, 2010
Last Update Date
October 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
802 W Park Ave
Suite 211
Ocean, NJ 07712-8527
City
Ocean
Zip
07712-8527
Phone Number
732-918-4848
Ocean, NJ 07712Get directions →

Provider Business Mailing Address Details

Address
145 Birch Ave
Little Silver, NJ 07739-1148
City
Little Silver
State
NJ
Zip
07739-1148

License Information

License Number
41YS00616100
License State
NJ
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 Gabriella D Vidal, CCC-SLP?

The NPI number of Gabriella D Vidal, CCC-SLP is 1902115397. It was assigned on October 1, 2010 and is currently active in the NPPES registry.

What is the specialty of Gabriella D Vidal, CCC-SLP?

Gabriella D Vidal, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00616100.

Where does Gabriella D Vidal, CCC-SLP practice?

The practice location is 802 W Park Ave, Suite 211, Ocean, NJ 07712-8527. The office can be reached at 732-918-4848 (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 1902115397 directly on the NPPES registry website.

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