Provider Demographics
NPI:1538913496
Name:BARTOLOTTA, ALEXANDRA ROSE (MS, CCC-SLP TSSLD)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:ROSE
Last Name:BARTOLOTTA
Suffix:
Gender:F
Credentials:MS, CCC-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NE 31ST ST UNIT 1404
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4483
Mailing Address - Country:US
Mailing Address - Phone:347-712-2289
Mailing Address - Fax:
Practice Address - Street 1:11601 BISCAYNE BLVD STE 312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3151
Practice Address - Country:US
Practice Address - Phone:786-206-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
FLSA22557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist