Individual
ALIXANDRA TREVISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
698 WEST AVE, NORWALK, CT 06850-3302
(203) 852-3400
Mailing address
101 SUMMER ST, UNIT 912, STAMFORD, CT 06901-2322
(860) 573-2109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004525
CT
Other
Enumeration date
12/06/2012
Last updated
01/14/2013
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