Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Bolivar, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891165668

Alexis Bolivar, MACCC-SLP is a Speech-Language Pathologist in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

2 Irving St
East Orange, NJ 07018-1914
Phone: (201) 647-9319
Fax: (973) 766-1704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00576500 (NJ)

Record details

NPI number1891165668
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedOctober 5, 2015
Last updated in NPPESOctober 5, 2015

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