Provider Demographics
NPI:1710878137
Name:PATEL, PRIYAL VIPUL (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:PRIYAL
Middle Name:VIPUL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:PRIYAL
Other - Middle Name:VIPUL
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:615 SWANN AVE APT 239
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1456
Mailing Address - Country:US
Mailing Address - Phone:912-675-9477
Mailing Address - Fax:
Practice Address - Street 1:601 KING ST STE 306
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3151
Practice Address - Country:US
Practice Address - Phone:703-791-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204001644235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist