Healthcare Provider Details

I. General information

NPI: 1306758115
Provider Name (Legal Business Name): ALEXIS YELLIN M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 VIA D ESTE APT 308
DELRAY BEACH FL
33445-3958
US

IV. Provider business mailing address

5081 PINEVEIW CIRCLE
DELRAY BEACH FL
33445
US

V. Phone/Fax

Practice location:
  • Phone: 201-783-5004
  • Fax:
Mailing address:
  • Phone: 201-783-5004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP012414
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: