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

Individual provider Speech-Language Pathologist · NPI 1568979011

Jennifer Vidal, CCC-SLP is a Speech-Language Pathologist in Somerville, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
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

5 Middlesex Ave
Somerville, MA 02145-1102
Phone: (617) 591-4602
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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 77234 (MA)

Record details

NPI number1568979011
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 5, 2018
Last updated in NPPESOctober 10, 2019

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