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

Individual provider Speech-Language Pathologist · NPI 1700130101

Mary Vitale, MSCCCSLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

52 Roman Ave
Staten Island, NY 10314-2721
Phone: (917) 586-2964
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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 022956-1 (NY)

Record details

NPI number1700130101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedNovember 7, 2012
Last updated in NPPESMay 2, 2017

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