Active NPIIndividual provider

Ms. Stephanie Revollo

Speech-Language Pathologist, in Alexandria, Virginia

NPI Number1770059966
Practice location
1340 Braddock Pl, Alexandria, VA 22314-1693
Fax
—
Last updated
September 18, 2023

Stephanie Revollo is a Speech-Language Pathologist, based in Alexandria, VA. Stephanie Revollo practices in Alexandria, VA. The NPI Number for Stephanie Revollo is 1770059966. The current practice location address for Stephanie Revollo is 1340 Braddock Pl, Alexandria, VA 22314-1693 and can be reached out via phone at 703-619-8139.

Provider Profile Details

NPI Number
1770059966
Provider Name
Stephanie Revollo
Provider Entity Type
Individual
Gender
Female
Address
1340 Braddock Pl, Alexandria, VA 22314-1693
Phone Number
703-619-8139
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2018
Last Update Date
September 18, 2023
Certification Date
September 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1340 Braddock Pl
Alexandria, VA 22314-1693
Zip
22314-1693
Phone Number
703-619-8139
Alexandria, VA 22314Get directions →

Provider Business Mailing Address Details

Address
29 Richardson Ave
Haledon, NJ 07508-1714
City
Haledon
State
NJ
Zip
07508-1714
Phone Number
973-900-2177

License Information

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 Ms. Stephanie Revollo?

The NPI number of Ms. Stephanie Revollo is 1770059966. It was assigned on October 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Stephanie Revollo?

Ms. Stephanie Revollo is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Ms. Stephanie Revollo practice?

The practice location is 1340 Braddock Pl, Alexandria, VA 22314-1693. The office can be reached at 703-619-8139 (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 1770059966 directly on the NPPES registry website.

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