Provider Demographics
NPI:1639836844
Name:CALA, ALEXIS (MS CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:
Last Name:CALA
Suffix:
Gender:F
Credentials:MS 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 1:279 E 196TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3507
Mailing Address - Country:US
Mailing Address - Phone:929-458-3505
Mailing Address - Fax:
Practice Address - Street 1:279 E 196TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-3507
Practice Address - Country:US
Practice Address - Phone:929-458-3505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist