Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athanasios Vardoulias, MA, CCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1528401551

Athanasios Vardoulias, MA, CCC-SLP, TSSLD is a Speech-Language Pathologist in Waltham, Massachusetts. Licensed in Massachusetts and New York. Registered with an NPI since 2013.

Licensed in
MA, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

73 Central St Apt 3
Waltham, MA 02453-5446
Phone: (516) 603-1262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9044 (MA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 019880 (NY)

Record details

NPI number1528401551
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP , TSSLD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESOctober 9, 2015

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