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Individual

DAVID I ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 CLARKE PL, FREDERICK, MD 21701-6529
(301) 360-1460
(301) 360-1403
Mailing address
101 CLARKE PL, FREDERICK, MD 21701-6529
(301) 360-1460
(301) 360-1403

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01373
MD
231H00000X
Audiologist
A.01971
OH
231H00000X
Audiologist
SLPAUD00219027
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01373
MARYLAND BOARD OF AUDIOLOGISTS, HEARING AID DISPENSERS & SPEECH-LANGUAGE PATHOLO
MD
01
A.01971
OHIO AUDIOLOGY LICENSE
OH
01
SLPAUD00219027
KENTUCKY AUDIOLOGY LICENSE
KY
Enumeration date
06/22/2015
Last updated
04/05/2016
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