Vitale, Grace Philippa

Vitale, Grace Philippa is an individual health care provider with primary practice located at 8345 Reseda Bl #106, Northridge CA 91324. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vitale, Grace Philippa can be contacted via phone (818) 345-2684.

Contact Information

Primary practice address
8345 Reseda Bl #106 Northridge CA 91324
Phone: (818) 345-2684
Fax: (818) 345-2684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP0067960 California

Profile Details

NPI number 1396853552
LBN Legal business name Vitale, Grace Philippa
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396853552 NPPES
California MEDICAID SP0067960

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