Individual
ALEXIS NOEL STAUDENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
205 N BROAD ST STE 401, PHILADELPHIA, PA 19107-1553
(215) 762-4600
Mailing address
171 GRAPE ST APT 202, PHILADELPHIA, PA 19127-1455
(240) 446-4337
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006711
PA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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