Healthcare Provider Details

I. General information

NPI: 1457015877
Provider Name (Legal Business Name): ALEXIS RIPLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ARC PL
LITTLETON MA
01460-1827
US

IV. Provider business mailing address

6 ARC PL
LITTLETON MA
01460-1827
US

V. Phone/Fax

Practice location:
  • Phone: 978-501-4745
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP101616
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: