Healthcare Provider Details

I. General information

NPI: 1053240663
Provider Name (Legal Business Name): CRISTINA MARIE D'ALESSIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 CARRIAGE HILL RD STE 200
VIRGINIA BEACH VA
23452-6546
US

IV. Provider business mailing address

2726 OCEAN SHORE AVE
VIRGINIA BEACH VA
23451-1330
US

V. Phone/Fax

Practice location:
  • Phone: 757-263-2800
  • Fax:
Mailing address:
  • Phone: 973-647-4548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202012288
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: