Individual
ALEXANDRA CISTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 259-1414
Mailing address
1551 N WATER ST UNIT 312, MILWAUKEE, WI 53202-2612
(414) 331-4614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5317-154
WI
235Z00000X
Speech-Language Pathologist
Primary
6145
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220870
—
WI
Enumeration date
07/29/2021
Last updated
06/26/2023
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