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Athanasios Vardoulias, M.A., CCC-SLP, TSSLD

NPI 1528401551 · on the registry since 2013

Practice

Address
73 Central St Apt 3
Waltham, MA 02453
Phone
(516) 603-1262

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
NY, MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts