Individual
ALEXA MASTANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Mailing address
12 DUSK DR, CENTEREACH, NY 11720-2314
(631) 291-3369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
09/16/2022
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