Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Fasano, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164885752

Alexis Fasano, MA, CCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

47 Jerome Ave
Staten Island, NY 10305-3601
Phone: (917) 681-6324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 025321-1 (NY)

Record details

NPI number1164885752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESMarch 31, 2016

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