Jennifer Vidal, CCC-SLP
NPI #1568979011 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1568979011
- Entity Type
- Individual
- Name
- Jennifer Vidal, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Jan 5, 2018
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 5 MIDDLESEX AVE
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02145-1102
- Phone
- (617) 591-4602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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