Alexis Duplak

Individual provider Active NPI Speech-Language Pathologist · Wall, NJ

NPI 1962361402 · NPPES record last updated Jan 20, 2026

Key facts

NPI
1962361402
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
TL-4987 (NJ)
Practice address
2101 NJ-34 South
Suite F
Wall, NJ 07719
Phone
(732) 659-9536
Fax
(609) 488-2651
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TL-4987NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Solutions, LLC Speech-Language Pathologist Current
since Jul 1, 2026
Accepting new patients

Locations

2101 State Route 34
Ste F
Wall Township, NJ 07719
Phone (732) 659-9536

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TL-4987 NJ Yes

Addresses

Primary practice location

2101 NJ-34 South
Suite F
Wall, NJ 07719

Mailing address

2101 NJ-34 South
Suite F
Wall, NJ 07719
Phone (732) 659-9536

Other providers in Wall, NJ

All providers in Wall, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.