Individual
MRS. ALEXANDRA MCNICHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, TSSLD
Contact information
Practice address
125 E BETHPAGE RD STE 5, PLAINVIEW, NY 11803
(516) 731-5588
Mailing address
29 DOVECOTE LN, COMMACK, NY 11725-2743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03858055
—
NY
Enumeration date
08/16/2017
Last updated
11/29/2023
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