Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932708237 Individual Practitioner Female Practitioner

Alexandra Brucculeri , SLP

Speech-Language Pathologist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Alexandra Brucculeri, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Vancouver, WA. Practice services are available at 2500 NE 65TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Ne 65th Ave

Vancouver, WA 986616812

Telephone 9177674577
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
266 Specialists

Practicing in Vancouver, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-10-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA SI61099839

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License OR 16943

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

40 Associated Practitioners
Denise Dishongh , MA, LMHC, SUDP

Counselor - Mental Health

NPI 1013034073

Master of Arts, Licensed Mental Health Counselor, SUDP

Ashley Morris

Occupational Therapist

NPI 1013491042
Stephanie Bromiley , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1023353539

Speech-Language Pathology Assistant

Dr. Levi Vantol , PT, DPT

Physical Therapist

NPI 1053971556

Physical Therapist, Doctor of Physical Therapy

NPI 1063101673

SOCIALWORKER

Marissa Johnson

Social Worker - Clinical

NPI 1073475547

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2020

Registered at 2500 NE 65TH AVE, VANCOUVER, WA 986616812 (Tel: 9177674577)

📍
Updated Business Mailing Address October 19, 2020

Registered at 1714 N FARRAGUT ST, PORTLAND, OR 972176518 (Tel: 9177674577)

👤
Provider Name / Credentials Updated October 19, 2020

Recorded as ALEXANDRA BRUCCULERI, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Speech-Language Pathologist (License #16943 in OR)

🟢
Initial NPI Registration & Enumeration October 19, 2020

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: 1932708237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2020
Last Update: October 19, 2020
Sole Proprietor: No

Mailing Address

1714 N Farragut St

Portland, OR 972176518

Phone: 9177674577

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.