Vardoulias, Athanasios

Vardoulias, Athanasios is an individual health care provider with primary practice located at 73 Central St Apt 3 , Waltham MA 02453-5446. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Vardoulias, Athanasios can be contacted via phone (516) 603-1262.

Contact Information

Primary practice address
73 Central St Apt 3 Waltham MA 02453-5446
Phone: (516) 603-1262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 019880 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9044 Massachusetts

Profile Details

NPI number 1528401551
LBN Legal business name Vardoulias, Athanasios
Credentials M.A., CCC-SLP, TSSLD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Oct 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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