Individual
MS. ALEXANDRA DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
975 PLATTE RIVER BLVD UNIT O, BRIGHTON, CO 80601-4349
(303) 659-8822
(303) 659-7788
Mailing address
975 PLATTE RIVER BLVD UNIT O, BRIGHTON, CO 80601-4349
(303) 659-8822
(303) 659-7788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146012138
IL
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001825
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14055616
ASHA ACCOUNT NUMBER
CO
01
—
146012138
ILLINOIS STATE LICENSE
IL
01
—
SLP.0001825
STATE LICENSE NUMBER
CO
Enumeration date
08/01/2013
Last updated
08/13/2014
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