Provider Demographics
NPI:1407536188
Name:CALABRO, ALEXYS ANNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALEXYS
Middle Name:ANNE
Last Name:CALABRO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-0045
Mailing Address - Country:US
Mailing Address - Phone:732-996-9226
Mailing Address - Fax:
Practice Address - Street 1:900 NUTSWAMP RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3807
Practice Address - Country:US
Practice Address - Phone:732-706-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist