Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568979011 Individual Practitioner Female Practitioner

Jennifer Vidal , CCC-SLP

Speech-Language Pathologist • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Vidal, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Somerville, MA. Practice services are available at 5 MIDDLESEX AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Middlesex Ave

Somerville, MA 021451102

Telephone 6175914602
Associated Practice Facility / Clinic
🏢 Cambridge Health Alliance Facility NPI 1972782076

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
47 Specialists

Practicing in Somerville, MA (4034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 77234

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Michelle Murphy , OTR, L

Occupational Therapist

NPI 1013107796

Occupational Therapist Registered, L

Rita Agholor

Nurse Practitioner - Family

NPI 1013454016
Lianne Lucontoni , R, N

Registered Nurse - Ambulatory Care

NPI 1023541042
NPI 1033412945

Doctor of Physical Therapy

Amanda Derosa , OTR, L

Occupational Therapist

NPI 1033598925

Occupational Therapist Registered, L

Christie Mcbrayer , LPN

Licensed Practical Nurse

NPI 1043652266

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 10, 2019

Registered at 5 MIDDLESEX AVE, SOMERVILLE, MA 021451102 (Tel: 6175914602)

📍
Updated Business Mailing Address October 10, 2019

Registered at 407 D ST UNIT 316, BOSTON, MA 022101943 (Tel: 9083996965)

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as JENNIFER VIDAL, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Speech-Language Pathologist (License #77234 in MA)

NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2018

Registered at 333 MAIN ST APT 123, REDWOOD CITY, CA 940631765 (Tel: 9083996965)

📍
Updated Business Mailing Address January 05, 2018

Registered at 333 MAIN ST APT 123, REDWOOD CITY, CA 940631765 (Tel: 9083996965)

👤
Provider Name / Credentials Updated January 05, 2018

Recorded as JENNIFER TRUBIN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Speech-Language Pathologist (License #20980 in CA)

🟢
Initial NPI Registration & Enumeration January 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jennifer Vidal. Be the first to share your experience!

Sign in to leave a review for Jennifer Vidal

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1568979011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2018
Last Update: October 10, 2019
Sole Proprietor: Yes

Mailing Address

407 D St Unit 316

Boston, MA 022101943

Phone: 9083996965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.