Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770059966 Individual Practitioner Female Practitioner

Stephanie Revollo

Speech-Language Pathologist • Alexandria, VA

Professional Overview & Biography Verified Profile Summary

Stephanie Revollo is a registered healthcare professional specializing in Speech-Language Pathologist in Alexandria, VA. Practice services are available at 1340 BRADDOCK PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 Braddock Pl

Alexandria, VA 223141693

Telephone 7036198139
Associated Practice Facility / Clinic
🏢 Francis C Hammond Facility NPI 1396584074

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Alexandria, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
169 Specialists

Practicing in Alexandria, VA (4974 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Brittany Storti , EDS, NCSP

Psychologist - School

NPI 1013558279
Amanda Lesnick

Speech-Language Pathologist

NPI 1225531536
Tania Ferran

Social Worker - School

NPI 1316444920
Mickie Monsheimer , PT

Physical Therapist

NPI 1396249033

Physical Therapist

Jessica Hatfield

Speech-Language Pathologist

NPI 1508004052
Dr. Rebecca Marcus , PsyD

Psychologist - School

NPI 1548594450

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address September 18, 2023

Registered at 29 RICHARDSON AVE, HALEDON, NJ 075081714 (Tel: 9739002177)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as STEPHANIE REVOLLO

NPI Profile Active October 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2018

Registered at 1340 BRADDOCK PL, ALEXANDRIA, VA 223141693 (Tel: 7036198139)

📍
Updated Business Mailing Address October 16, 2018

Registered at 1340 BRADDOCK PL, ALEXANDRIA, VA 223141693

👤
Provider Name / Credentials Updated October 16, 2018

Recorded as STEPHANIE COLON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2018

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration October 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770059966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2018
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

29 Richardson Ave

Haledon, NJ 075081714

Phone: 9739002177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.