IndividualActive
Alexis Bolivar, M.A. CCC-SLP
NPI 1891165668 · Speech-Language Pathologist · East Orange, NJ
Provider details
- NPI number
- 1891165668
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 41YS00576500 (NJ)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2 Irving St
East Orange, NJ 07018-1914
Phone: (201) 647-9319
Fax: (973) 766-1704
Approximate (ZIP-level) locationGet directions
Mailing address
2 Irving St
East Orange, NJ 07018-1914
Registry dates
- Enumerated
- 2015-10-05
- Last updated
- 2015-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.