Individual
MS. ALEXANDRA DEANNE COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107-4201
(215) 955-6760
(215) 503-3736
Mailing address
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107-4201
(215) 955-6760
(215) 503-3736
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT006318
PA
Other
Enumeration date
11/20/2013
Last updated
05/07/2014
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