Alexandra Matisse, MS, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014087 Issued in PA

Practice address

822 Montgomery Ave Ste 306
Narberth, PA 19072-1948

Phone

(215) 220-2210

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1497235758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE STE 306",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE STE 306",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721948",
            "telephone_number": "215-220-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISSE",
        "first_name": "ALEXANDRA",
        "credential": "MS, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE KEYSTONE",
            "identifier": "QCH126565423001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claude Marbaix, LPC
• David Mark, PH.D.
• Gerald A Markowitz, D.M.D.
• Martha Bardsley MD LLC
• Amanda Marie Martin, MA, CCC-SLP
• Stephanie Beth Mattei, PSY.D.
• Shannon Catherine McAvoy
• Alexandra McCarraher
• Megan McCool
• Michelle McCormack

• Speech-Language Pathologist in Narberth, PA
• Providers in Narberth, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.