NPI 1639951510 · live from the CMS NPI Registry
Vicki L Demello, MS,CCC-SLP
Speech-Language Pathologist, in Swansea, MA. National Provider Identifier 1639951510, active.
NPI record
| NPI | 1639951510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 538 Wilbur Ave, Swansea, MA 02777 |
| Practice phone | 508-488-0400 |
| Mailing address | 26 Waterman St, Bristol, RI 02809 |
| Enumerated | October 16, 2023 |
| Last updated | October 16, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00522 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.