MEDICARE: SYLVETTE ALICE DEL SOL SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2204001509	VA

General Provider Information

NPI Number	:	1073332938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVETTE ALICE DEL SOL SLP

Provider Business Mailing Address
First Line	:	1941 SOMERSBY LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-7834
Country	:	US
Telephone Number	:	561-319-3352
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 CLEVELAND ST STE 150
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1789
Country	:	US
Telephone Number	:	757-401-4435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	11/28/2025

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Directions to “ SYLVETTE ALICE DEL SOL SLP” Practice Location

Language	Start Address	Practice Location

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