Provider Demographics
NPI:1760044812
Name:BATTISTA-MILLER, ALEXA R (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:R
Last Name:BATTISTA-MILLER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:R
Other - Last Name:BATTISTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:179 BEAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1063
Mailing Address - Country:US
Mailing Address - Phone:781-895-9500
Mailing Address - Fax:845-897-3753
Practice Address - Street 1:179 BEAR HILL RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1063
Practice Address - Country:US
Practice Address - Phone:781-895-9500
Practice Address - Fax:845-897-3753
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist