Provider Demographics
NPI:1740657006
Name:VITALE, MEGHAN MURPHY (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:MURPHY
Last Name:VITALE
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:KATHLEEN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, TSSLD
Mailing Address - Street 1:77 MARSH AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5901
Mailing Address - Country:US
Mailing Address - Phone:718-761-2155
Mailing Address - Fax:
Practice Address - Street 1:77 MARSH AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5901
Practice Address - Country:US
Practice Address - Phone:718-986-4672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist