Provider Demographics
NPI:1265822100
Name:CAVALLINI, ALANA (MA CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:CAVALLINI
Suffix:
Gender:F
Credentials:MA CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MANOR RD N
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2818
Mailing Address - Country:US
Mailing Address - Phone:516-524-0717
Mailing Address - Fax:
Practice Address - Street 1:112 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1764
Practice Address - Country:US
Practice Address - Phone:516-277-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist