Provider Demographics
NPI:1265185680
Name:VINSKI, BRYAN CHARLES II (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:CHARLES
Last Name:VINSKI
Suffix:II
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 E HEWSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-2829
Mailing Address - Country:US
Mailing Address - Phone:570-985-4184
Mailing Address - Fax:
Practice Address - Street 1:1575 E HEWSON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-2829
Practice Address - Country:US
Practice Address - Phone:570-985-4184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist