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NPI Code Detail

MEDICARE: MICHELLE VITELLI

MEDICARE: MICHELLE VITELLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL007017PA

General Provider Information

NPI Number : 1841693066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE VITELLI
Provider Business Mailing Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Provider Business Practice Location Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 10/01/2014

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Directions to “ MICHELLE VITELLI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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