Individual
ALEXIS COLUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 323-2700
Mailing address
1931 SKILES BLVD, WEST CHESTER, PA 19382-7380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001721
DE
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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