Active NPIIndividual provider

Alexandra Derosa, MS CCC-SLP

Speech-Language Pathologist, in Lexington, Massachusetts

NPI Number1215471883
Practice location
35 Bedford St Ste 6, Lexington, MA 02420-4439
Fax
—
Last updated
December 15, 2016

Alexandra Derosa is a Speech-Language Pathologist, based in Lexington, MA. Alexandra Derosa practices in Lexington, MA and has the professional credentials of MS CCC-SLP. The NPI Number for Alexandra Derosa is 1215471883 and holds a License No. 9691 (MA). The current practice location address for Alexandra Derosa is 35 Bedford St Ste 6, Lexington, MA 02420-4439 and can be reached out via phone at 617-969-8255.

Provider Profile Details

NPI Number
1215471883
Provider Name
Alexandra Derosa
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
35 Bedford St Ste 6, Lexington, MA 02420-4439
Phone Number
617-969-8255
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2016
Last Update Date
December 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Bedford St Ste 6
Lexington, MA 02420-4439
Zip
02420-4439
Phone Number
617-969-8255
Lexington, MA 02420Get directions →

Provider Business Mailing Address Details

Address
5 Fulton St
Attleboro, MA 02703-6981
City
Attleboro
State
MA
Zip
02703-6981
Phone Number
508-838-7011

License Information

License Number
9691
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandra Derosa, MS CCC-SLP?

The NPI number of Alexandra Derosa, MS CCC-SLP is 1215471883. It was assigned on December 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Alexandra Derosa, MS CCC-SLP?

Alexandra Derosa, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 9691.

Where does Alexandra Derosa, MS CCC-SLP practice?

The practice location is 35 Bedford St Ste 6, Lexington, MA 02420-4439. The office can be reached at 617-969-8255 (phone).

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 1215471883 directly on the NPPES registry website.

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