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

Individual provider Early Intervention Provider Agency · NPI 1457916215

Mr. Matthew Omalley, SLPA, ITDS is an Early Intervention Provider Agency in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

201 Thornberry Branch Ln
Daytona Beach, FL 32124-3652
Phone: (317) 340-9490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SI3849 (FL)
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1457916215
Entity typeIndividual (Type 1)
GenderMale
Credentials SLPA , ITDS
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019

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