Healthcare Provider Details

I. General information

NPI: 1598643470
Provider Name (Legal Business Name): NATALIE NOSAL SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 WINTER ST
WEYMOUTH MA
02188-3367
US

IV. Provider business mailing address

121 MARCELLE AVE APT 3
PORT ORANGE FL
32127-5750
US

V. Phone/Fax

Practice location:
  • Phone: 781-924-5069
  • Fax: 781-924-1578
Mailing address:
  • Phone: 617-756-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP102281
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: