Alison Destefano, MS, CCC-SLP
Speech-Language Pathologist, in Medford, Massachusetts
1104404623- Practice location
- 619 Boston Ave Apt 1, Medford, MA 02155-1375
- Phone
- 781-572-4555
- Fax
- 855-232-8604
- Last updated
- March 29, 2021
Alison Destefano is a Speech-Language Pathologist, based in Medford, MA. Alison Destefano practices in Medford, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Alison Destefano is 1104404623 and holds a License No. 76791 (MA). The current practice location address for Alison Destefano is 619 Boston Ave Apt 1, Medford, MA 02155-1375 and can be reached out via phone at 781-572-4555 and via fax at 855-232-8604.
Provider Profile Details
- NPI Number
- 1104404623
- Provider Name
- Alison Destefano
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 619 Boston Ave Apt 1, Medford, MA 02155-1375
- Phone Number
- 781-572-4555
- Fax Number
- 855-232-8604
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2021
- Last Update Date
- March 29, 2021
- Certification Date
- March 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 619 Boston Ave Apt 1
Medford, MA 02155-1375 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1375
- Phone Number
- 781-572-4555
- Fax Number
- 855-232-8604
Provider Business Mailing Address Details
- Address
- 619 Boston Ave Apt 1
Medford, MA 02155-1375 - City
- Medford
- State
- MA
- Zip
- 02155-1375
- Phone Number
- 781-572-4555
- Fax Number
- 855-232-8604
License Information
- License Number
- 76791
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Medford, MA
View all Speech-Language Pathologist, providers in Medford →- Abigail JonesSpeech-Language Pathologist, · NPI 1104750363
- Adrienne R BellSpeech-Language Pathologist, · NPI 1306327457
- Christin S Keegan, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1720313398
- Courtney L BurnsSpeech-Language Pathologist, · NPI 1386309037
- Katherine James, MS, CCC-SLP, CEISSpeech-Language Pathologist, · NPI 1699958702
- Kathleen M DiamondSpeech-Language Pathologist, · NPI 1275414732
Frequently Asked Questions
What is the NPI number of Alison Destefano, MS, CCC-SLP?
The NPI number of Alison Destefano, MS, CCC-SLP is 1104404623. It was assigned on March 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Alison Destefano, MS, CCC-SLP?
Alison Destefano, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 76791.
Where does Alison Destefano, MS, CCC-SLP practice?
The practice location is 619 Boston Ave Apt 1, Medford, MA 02155-1375. The office can be reached at 781-572-4555 (phone) or 855-232-8604 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104404623 directly on the NPPES registry website.