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

Maureen O'Doherty Di Vincenzo, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134621220

Maureen O'Doherty Di Vincenzo, MSCCC-SLP is a Speech-Language Pathologist in Coppell, Texas. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

428 Wellington Rd
Coppell, TX 75019-6705
Phone: (541) 771-0163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202009125 (VA)

Record details

NPI number1134621220
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

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