Alison Destefano, MS, CCC-SLP
NPI 1104404623 · Speech-Language Pathologist · Medford, MA
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alison Destefano, MS, CCC-SLP is a Speech-Language Pathologist provider in Medford, MA (NPI 1104404623).
Provider details
- NPI number
- 1104404623
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 76791 (MA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-29
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Alison Destefano's NPI number?
- Alison Destefano's National Provider Identifier (NPI) is 1104404623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alison Destefano's specialty?
- Alison Destefano is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Alison Destefano located?
- Alison Destefano's practice location on file with NPPES is 619 Boston Ave Apt 1, Medford, MA 02155-1375.
- What is Alison Destefano's phone number?
- The practice phone number listed in the NPPES registry for Alison Destefano is (781) 572-4555.
- Does Alison Destefano accept Medicare?
- Alison Destefano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alison Destefano's NPI active?
- Yes — Alison Destefano's NPI (1104404623) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.