Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicki Cleverley - Wardell, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619534740

Vicki Cleverley - Wardell, MACCC-SLP is a Qualified Speech Language Pathologist in Las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5121 Chambliss Dr
Las Vegas, NV 89130-2171
Phone: (702) 528-0981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7261 W Charleston Blvd Ste 101, Las Vegas, NV 89117-1679 — (702) 396-0101

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-2902 (NV)

Record details

NPI number1619534740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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