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

Alison Destefano, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104404623

Alison Destefano, MS, CCC-SLP is a Speech-Language Pathologist in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

619 Boston Ave Apt 1
Medford, MA 02155-1375
Phone: (781) 572-4555
Fax: (855) 232-8604
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 76791 (MA)

Record details

NPI number1104404623
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

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